Organization
VERICARE OF CALIFORNIA MEDICAL GROUP
Active
Other names
Vericare
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KING (DIRECTOR, CREDENTIALING ENROLLMENT)
(800) 370-3651
Entity
Organization
Contact information
Practice address
2501 ALVIN AVE, SAN JOSE, CA 95121-1660
(800) 257-8715
(800) 819-1655
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(877) 515-7147
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
CA
1041C0700X
Clinical Social Worker
—
CA
2084P0800X
Psychiatry Physician
—
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
CA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC7816
RAILROAD MEDICARE
CA
05
—
GPS000150
—
CA
Enumeration date
05/20/2006
Last updated
07/11/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us