Caremore Health Plan
Nurse Practitioner, Family in Brea, CA. Organization (NPI-2).
NPI number1053784512
StatusActive
Last updated in NPPESNov 5, 2015
Details
- NPI
- 1053784512
- Entity type
- Organization (NPI-2)
- Legal business name
- Caremore Health Plan
- Organization subpart
- No
- Enumeration date
- Nov 5, 2015
- Last updated
- Nov 5, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | A90047 | CA | Yes |
Practice location
420 W. Central Avenue #aBrea, CA 92821
Phone 714-529-3971
Mailing address
420 W. Central Avenue #aBrea, CA 92821
Phone 714-529-3971
Authorized official
Tea J Park
MD
7145293971
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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