Active NPI
Alani Health & Wellness Center a Nursing Corporation
- Clinic/Center
- Los Angeles, CA
National Provider Identifier
1063779304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 21119
- Legal business name
- ALANI HEALTH & WELLNESS CENTER A NURSING CORPORATION
- Practice address
- 7121 W Manchester Ave
Los Angeles, CA 90045-3508 - Phone
- (424) 750-9789
- Fax
- (424) 750-9791
- NPI assigned
- Apr 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ellen Larita Schmidt Olaivar, ADULT NP & WHNP
- Title
- Ceo and Cfo
- Phone
- (310) 962-0035
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 6509 | CA | |
| Clinic/Center | 261Q00000X | 21119 | CA | Primary |
| Clinic/Center | 261Q00000X | 6287 | CA |
Addresses
Primary practice location
7121 W Manchester Ave
Los Angeles, CA 90045-3508
Mailing address
7121 W Manchester Ave
Los Angeles, CA 90045-3508
Phone (424) 750-9789
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6509 | Other | CA | NURSE PRACTITONER LICENSE NUMBER |
| 6287 | Other | CA | NURSE PRACTITONER LICENSE NUMBER |
| 21119 | Other | CA | NURSE PRACTITONER LICENSE NUMBER |
National Provider Directory
National Provider DirectoryLocations
7121 W Manchester Ave
Los Angeles, CA 90045
Phone (424) 750-9789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413849600000",
"number": "1063779304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7121 W MANCHESTER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453508",
"telephone_number": "424-750-9789",
"fax_number": "424-750-9791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7121 W MANCHESTER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453508",
"telephone_number": "424-750-9789",
"fax_number": "424-750-9791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALANI HEALTH & WELLNESS CENTER A NURSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-11",
"last_updated": "2014-10-21",
"status": "A",
"authorized_official_last_name": "SCHMIDT OLAIVAR",
"authorized_official_first_name": "ELLEN",
"authorized_official_middle_name": "LARITA",
"authorized_official_title_or_position": "CEO AND CFO",
"authorized_official_telephone_number": "310-962-0035",
"authorized_official_credential": "ADULT NP & WHNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "6509",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "21119",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "6287",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITONER LICENSE NUMBER",
"identifier": "6509",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITONER LICENSE NUMBER",
"identifier": "6287",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITONER LICENSE NUMBER",
"identifier": "21119",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.