APCN-ACO, A MEDICAL PROFESSIONAL CORP


Address: 2360 Huntington Drive #201, C/o Mso, Inc. of Southern California, San Marino, CA 91108
Phone: 8183998996

APCN-ACO, A MEDICAL PROFESSIONAL CORP (NPI# 1831449222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831449222
Entity Type Organization
Organization Name APCN-ACO, A MEDICAL PROFESSIONAL CORP
Practice Address 2360 Huntington Drive #201
C/o Mso, Inc. of Southern California
San Marino
CA 91108
Practice Telephone 8183998996
Mailing Telephone 8183998996
Enumeration Date 2012-09-13
Last Update Date 2012-09-13
Authorized Official Name DR. EN MING LAI (PRESIDENT/CEO)
Authorized Official Telephone 6263193089
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization Managed Care Organizations

Office Location

Street Address 2360 HUNTINGTON DRIVE #201
C/O MSO, INC. OF SOUTHERN CALIFORNIA
City SAN MARINO
State CA
Zip Code 91108

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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124441696 Imperial Health Holdings, A Professional Medical Corporation Exclusive Provider Organization 2295 Huntington Dr # D, San Marino, CA 91108-2640 2014-02-03
1215372040 Doctors Choice Medical Group Exclusive Provider Organization 2295-a Huntington Drive, San Marino, CA 91108 2013-05-07
1316132178 Cal Care Ipa Exclusive Provider Organization 2360 Huntington Dr Ste 201, San Marino, CA 91108-2651 2007-09-13
1578017778 Mesa Advantage Medical Group Exclusive Provider Organization 2295 Huntington Dr # D, San Marino, CA 91108-2640 2016-08-05
1053604454 Avante Best Care Ipa Exclusive Provider Organization 2360 Huntington Dr Ste 201, San Marino, CA 91108-2651 2011-05-18
1942593348 Affiliated Physicians Medical Group Exclusive Provider Organization 2360 Huntington Dr Ste 201, San Marino, CA 91108-2651 2011-05-18
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Competitor

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City SAN MARINO
Zip Code 91108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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