Provider Demographics
NPI:1710302732
Name:QUALCARE, INC.
Entity Type:Organization
Organization Name:QUALCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IPA ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-371-2790
Mailing Address - Street 1:5080 CALIFORNIA AVE
Mailing Address - Street 2:SUITE 415
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1698
Mailing Address - Country:US
Mailing Address - Phone:661-371-2790
Mailing Address - Fax:661-371-3498
Practice Address - Street 1:5080 CALIFORNIA AVE
Practice Address - Street 2:SUITE 415
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1698
Practice Address - Country:US
Practice Address - Phone:661-371-2790
Practice Address - Fax:661-371-3498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5319OtherHEALTH NET IPA #