Provider Demographics
NPI:1477299527
Name:HEALTH CARE PIONEERS
Entity Type:Organization
Organization Name:HEALTH CARE PIONEERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUSHABH
Authorized Official - Middle Name:C
Authorized Official - Last Name:BHAKTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-610-6512
Mailing Address - Street 1:72780 COUNTRY CLUB DR STE 403
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4149
Mailing Address - Country:US
Mailing Address - Phone:760-610-6512
Mailing Address - Fax:760-610-6981
Practice Address - Street 1:72780 COUNTRY CLUB DR STE 403
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-4149
Practice Address - Country:US
Practice Address - Phone:760-610-6512
Practice Address - Fax:760-610-6981
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH CARE PIONEERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1396107249Medicaid