VERICARE OF CALIFORNIA MEDICAL GROUP (NPI# 1760437271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760437271 |
| Entity Type | Organization |
| Organization Name | VERICARE OF CALIFORNIA MEDICAL GROUP |
| Other Organization Name | VERICARE |
| Practice Address |
1505 Colby Dr Glendale CA 91205-3307 |
| Mailing Address |
55 Hatchetts Hill Rd Old Lyme CT 06371-1534 |
| Practice Telephone | 8002578715 |
| Practice Fax Number | 8008191655 |
| Mailing Telephone | 8003703651 |
| Mailing Fax Number | 8775157147 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2017-07-11 |
| Authorized Official Name | MELISSA KING (DIRECTOR, CREDENTIALING ENROLLMENT) |
| Authorized Official Telephone | 8003703651 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CA | Behavioral Health & Social Service Providers | |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
CA | Allopathic & Osteopathic Physicians | |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
CA | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GPS000150 | 05 | |
| CA | RAILROAD MEDICARE | CH5753 | 01 |
| Other Name | Type Code |
|---|---|
| Vericare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538114053 | Vericare of California Medical Group | Social Worker | 325 Kempton St, Spring Valley, CA 91977-5810 | 2006-05-23 |
| 1316992829 | Vericare of California Medical Group | Social Worker | 1633 Cypress Ln, Paradise, CA 95969-2823 | 2006-05-23 |
| 1275588790 | Vericare of California Medical Group | Social Worker | 1835 W La Veta Ave, Orange, CA 92868-4132 | 2006-05-23 |
| 1164475299 | Vericare of California Medical Group | Social Worker | 2707 Pine St, San Francisco, CA 94115-2522 | 2006-05-18 |
| 1528011764 | Vericare of California Medical Group | Social Worker | 81 Professional Ctr Pkwy, San Rafael, CA 94903-2797 | 2006-05-18 |
| 1407047673 | Vericare of California Medical Group | Nurse Practitioner | 3293 N Drinkwater Blvd, Scottsdale, AZ 85251-6405 | 2007-08-05 |
| 1689629198 | Vericare of California Medical Group | Social Worker | 205 Granada St, Camarillo, CA 93010-7715 | 2006-05-23 |
| 1194779439 | Vericare of California Medical Group | Social Worker | 2501 Alvin Ave, San Jose, CA 95121-1660 | 2006-05-20 |
| 1104879980 | Vericare of California Medical Group | Social Worker | 2707 Pine St, San Francisco, CA 94115-2522 | 2006-05-19 |
| 1942254644 | Vericare of California Medical Group | Social Worker | 430 Willow St, Alameda, CA 94501-6130 | 2006-05-19 |
| Street Address |
1505 COLBY DR |
| City | GLENDALE |
| State | CA |
| Zip Code | 91205-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547315 | Bv General Inc | Skilled Nursing Facility | 1505 Colby Dr, Glendale, CA 91205-3307 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466382 | Ashley Torres | Behavior Technician | 501 East Harvard Street, Glendale, CA 91205 | 2020-01-15 |
| 1306492277 | Maria Veronica A Lopez | Registered Nurse | 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 | 2019-08-15 |
| 1801373469 | Lucky Riders Inc. | Non-emergency Medical Transport (VAN) | 1251 Boynton St Apt 1, Glendale, CA 91205 | 2018-07-25 |
| 1669967006 | Happy Life Home Health Care Inc | Home Health | 225 East Broadway St, Suite 203, Glendale, CA 91205 | 2018-06-28 |
| 1841782356 | Liana Hariri | Case Manager/Care Coordinator | 1540 E. Colorodo St., Glendale, CA 91205 | 2018-05-31 |
| 1992202469 | Narek Garukyan Dpm | Clinic/Center | 815 E Colorado St Ste 210, Glendale, CA 91205 | 2018-04-10 |
| 1619496080 | Elite Care Home Health Services Inc | Home Health | 225 E.broadway, Suite B114, Glendale, CA 91205 | 2017-09-16 |
| 1396284980 | Ingrid Pamela Vazquez Solis | Case Manager/Care Coordinator | 1540 E. Colorado Street, Glendale, CA 91205 | 2017-02-16 |
| 1730533670 | Arm Trans Management Company | Non-emergency Medical Transport (VAN) | 627 E. Windsor Rd # 6, Glendale, CA 91205 | 2016-04-18 |
| 1104290824 | Caremore Health Plan | Nurse Practitioner | 406 E. Colorado Street, Glendale, CA 91205 | 2015-11-18 |
| Find all providers in zip 91205 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1871155986 | Jane Bowman Lischwe | Psychologist | 1818 Verdugo Blvd Ste 205, Glendale, CA 91208-1435 | 2019-06-28 |
| 1689143356 | Michael Brendzal | Psychologist | 501 W Glenoaks Blvd # 307, Glendale, CA 91202-2896 | 2018-11-24 |
| 1902251002 | Michael David Mcgady Jr. | Psychologist | 4425 W Olive Ave Ste 151a, Glendale, AZ 85302-3843 | 2016-04-27 |
| 1366809790 | Hansen Behavioral Health A Psychological Corporation | Psychologist | 524 N Maryland Ave, Suite 1, Glendale, CA 91206-2266 | 2016-01-15 |
| 1326469461 | Alisa Angelone | Psychologist | 715 N Central Ave Ste 102, Glendale, CA 91203-1286 | 2013-12-16 |
| 1699020180 | Ziba Saatchian | Psychologist | 135 S Jackson St, Suite #204, Glendale, CA 91205-4916 | 2012-07-20 |
| 1003181967 | Daura M De Assis | Psychologist | 436 Palm Dr, # 6, Glendale, CA 91202-3215 | 2012-03-12 |
| 1134411655 | Bryan Choi | Psychologist | 710 S Central Ave Ste 300, Glendale, CA 91204-4614 | 2011-05-03 |
| 1194029298 | Mike Zussman | Psychologist | 5800 N Bayshore Dr Ste A250, Glendale, WI 53217-4543 | 2011-01-04 |
| Find all providers in GLENDALE | ||||
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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.