| Care360 Medical Group | |
|
25044 Peachland Ave Ste 104 Santa Clarita CA 91321-5747 | |
| (951) 717-8787 | |
| (951) 717-8758 |
| Full Name | Care360 Medical Group |
|---|---|
| Speciality | Surgery |
| Location | 25044 Peachland Ave Ste 104, Santa Clarita, California |
| Authorized Official Name and Position | James Maciel (PRESIDENT & CEO) |
| Authorized Official Contact | 7144584617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care360 Medical Group 25044 Peachland Ave Ste 110 Santa Clarita CA 91321-5730 Ph: (844) 960-2673 | Care360 Medical Group 25044 Peachland Ave Ste 104 Santa Clarita CA 91321-5747 Ph: (951) 717-8787 |
| NPI Number | 1215763164 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 05/15/2025 |
| Medicare PECOS PAC ID | 3375075401 |
|---|---|
| Medicare Enrollment ID | O20241015000956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215763164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
| Provider Name | James D Maciel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225412521 PECOS PAC ID: 5496090680 Enrollment ID: I20181217000853 |
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