Organization Active NPI

New Vista Health Services, Inc.

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1023005683
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
910000018 Issued in CA
Legal business name
NEW VISTA HEALTH SERVICES, INC.
Practice address
1516 Sawtelle Blvd
Los Angeles, CA 90025-3207
Phone
(310) 477-5501
Fax
(310) 473-8363
NPI assigned
Sep 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Marie Lopez Dee, NHA
Title
Executive Director
Phone
(310) 477-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 910000018 CA Primary

Addresses

Primary practice location

1516 Sawtelle Blvd
Los Angeles, CA 90025-3207

Mailing address

1516 Sawtelle Blvd
Los Angeles, CA 90025-3207
Phone (310) 477-5501

Other identifiers 2

IdentifierTypeStateIssuer
ZZT05473JMedicaidCA
LTC70109FMedicaidCA

Other names 1

  • New Vista Post Acute Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1023005683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 SAWTELLE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253207",
            "telephone_number": "310-477-5501",
            "fax_number": "310-473-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 SAWTELLE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253207",
            "telephone_number": "310-477-5501",
            "fax_number": "310-473-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISTA HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "DEE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "LOPEZ",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-477-5501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "910000018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05473J",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70109F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Vista Post Acute Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.