Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ST. MARY IPA
Deactivated OrganizationST. MARY IPA is a Health Maintenance Organization organization located in LAKEWOOD, California. NPI 1467498865 is deactivated in the NPPES registry. Verify at CMS.
Health Maintenance Organization · LAKEWOOD, CA
This NPI has been deactivated.
The record was deactivated on October 28, 2009.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1467498865
- Provider Type
- Organization
- NPI Issued
- Jun 22, 2006 (3.3506849315068 yrs)
- Last Updated
- Oct 16, 2012
- Deactivated
- Oct 28, 2009
- License
-
011549 (CA)
Practice Information
- Address
-
4909 LAKEWOOD BLVDSTE. 200LAKEWOOD, CA, 907122405Browse CA providers · Browse ZIP 90712
- Phone
- 5626021563
- Fax
- 5625310937
- Primary Specialty
-
Health Maintenance Organization
302R00000X
Other Health Maintenance Organization Organizations in LAKEWOOD, CA
| Name | NPI |
|---|---|
| LAKEWOOD IPA | 1942256920 |
| ALAMITOS IPA | 1376583344 |
| PREMIER HEALTH PLAN SERVICES, INC. | 1538448964 |
| LAKEWOOD IPA, INC | 1063896942 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.