Organization Active NPI

Vanowen Optimal Health Care Inc

  • Adult Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1023773470
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
VANOWEN OPTIMAL HEALTH CARE INC
Practice address
15243 Vanowen St Ste 403
Van Nuys, CA 91405-3611
Phone
(818) 836-0608
NPI assigned
Nov 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Ravi Singh, MD
Title
Owner
Phone
(310) 850-9297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

15243 Vanowen St Ste 403
Van Nuys, CA 91405-3611

Mailing address

15243 Vanowen St Ste 403
Van Nuys, CA 91405-3611
Phone (818) 836-0608

Other identifiers 1

IdentifierTypeStateIssuer
A127484OtherCAMEDICAL BOARD OF CALIFORNIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1023773470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST STE 403",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053611",
            "telephone_number": "818-836-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST STE 403",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053611",
            "telephone_number": "818-836-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANOWEN OPTIMAL HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-850-9297",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A127484",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.