ANGEL CITY HEALTHCARE, INC (NPI# 1386883023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386883023 |
| Entity Type | Organization |
| Organization Name | ANGEL CITY HEALTHCARE, INC |
| Practice Address |
425 S Fairfax Ave Ste 225 Los Angeles CA 90036-3541 |
| Practice Telephone | 3236011024 |
| Practice Fax Number | 3233281735 |
| Mailing Telephone | 3236011024 |
| Mailing Fax Number | 3233281735 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-28 |
| Authorized Official Name | MR. ALEKSEY MURATOV (PRESIDENT) |
| Authorized Official Telephone | 3236011024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
425 S FAIRFAX AVE STE 225 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90036-3541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801873336 | Anna Spivak Sr. | Specialist | 425 S Fairfax Ave, Ste 202, Los Angeles, CA 90036-3148 | 2005-12-27 |
| 1588064786 | Westside Hospice Care, Inc. | Hospice Care, Community Based | 425 S Fairfax Ave, Suite 304, Los Angeles, CA 90036-3541 | 2014-08-26 |
| 1851579882 | Alpha Ambulance, Inc | Ambulance | 425 S Fairfax Ave, 205, Los Angeles, CA 90036-3541 | 2008-01-31 |
| 1881720951 | G & S Transportation Service, Inc | Non-emergency Medical Transport (VAN) | 425 S Fairfax Ave, Suite 214, Los Angeles, CA 90036-3541 | 2007-02-25 |
| 1144369083 | Anna Gravich | General Practice | 425 S Fairfax Ave, Los Angeles, CA 90036-3148 | 2007-02-06 |
| 1982717963 | Sun Diagnostic | Physiological Laboratory | 425 S Fairfax Ave, Suite 308, Los Angeles, CA 90036-3148 | 2006-08-16 |
| 1033198882 | Arkady Stern | Family Medicine | 425 S Fairfax Ave, 302, Los Angeles, CA 90036-3541 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140198 | Stephanie N Carter | Dietitian, Registered | 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 | 2020-06-26 |
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1508384330 | Matthew Milstein | Psychologist | 5675 West Olympic Blvd., Los Angeles, CA 90036 | 2017-08-31 |
| 1912423963 | John Allen Ostlund | Counselor | 5675 W. Olympic Blvd, Los Angeles, CA 90036 | 2017-08-21 |
| 1306376629 | Scott William Wilson | Case Manager/Care Coordinator | 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 | 2017-06-19 |
| 1205382298 | Janice Payson | Marriage & Family Therapist | 801 South Spaulding Avenue, Suite A, Los Angeles, CA 90036 | 2016-08-30 |
| 1134577281 | Parul A Desai | Registered Nurse | 5800 Wilshire Blvd, Los Angeles, CA 90036 | 2016-05-31 |
| 1477914604 | Sarah Frank Jarvis | Marriage & Family Therapist | 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 | 2016-03-16 |
| 1558747162 | Paul Oberon, Psy.d, Inc. | Community/Behavioral Health | 7421 Beverly Blvd., #10, Los Angeles, CA 90036 | 2015-08-05 |
| 1235543117 | Benjamin Maixner | Behavioral Analyst | 441 1/2 N Curson Ave, Los Angeles, CA 90036 | 2014-06-18 |
| Find all providers in zip 90036 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1073126447 | Kac for Seniors, Inc. | Home Health | 4872 Venice Blvd, Los Angeles, CA 90019-5662 | 2020-08-26 |
| 1467061580 | Los Feliz Health Care, Inc. | Home Health | 3111 Los Feliz Blvd Ste 203a, Los Angeles, CA 90039-1585 | 2020-07-24 |
| 1093324279 | Royal Hollywood Healthcare Inc. | Home Health | 5068 Hollywood Blvd Ste A, Los Angeles, CA 90027-6139 | 2020-07-23 |
| 1104447234 | Loved One Care Inc. | Home Health | 633 W 5th St Ste 810, Los Angeles, CA 90071-3546 | 2020-04-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90036 |
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| 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.