Vericare

LBN: Vericare Of California Medical Group
Vericare is an health care organization with primary practice located at 81 Professional Ctr Pkwy , San Rafael CA 94903-2797. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Vericare Of California Medical Group can be contacted via phone (800) 257-8715, or through Budd, Daniel R. via phone (800) 257-8715.

Contact Information

Primary practice address
81 Professional Ctr Pkwy San Rafael CA 94903-2797
Phone: (800) 257-8715
Fax: (800) 819-1655
Website:
Map and Directions
Authorized official contact:
Name: Budd, Daniel R.
Phone: (800) 257-8715

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X

Profile Details

NPI number 1528011764
LBN Legal business name Vericare Of California Medical Group
DBA Doing business as Vericare
Authorized official Budd, Daniel R.
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Dec 21st, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528011764 NPPES
California Other CC7816 RAILROAD MEDICARE
California MEDICAID GPS000150 RAILROAD MEDICARE

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