Active NPI
Rafael Nava
- Community Health Worker
- Van Nuys, CA
National Provider Identifier
1083072284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 6501 Van Nuys Blvd
Van Nuys, CA 91401-1425 - Phone
- (818) 902-5315
- NPI assigned
- Feb 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
6501 Van Nuys Blvd
Van Nuys, CA 91401-1425
Mailing address
19561 Hemmingway St
Reseda, CA 91335-1641
Phone (818) 523-4269
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225400000X | Other | CA | SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER, INC. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1083072284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19561 HEMMINGWAY ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913351641",
"telephone_number": "818-523-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 VAN NUYS BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914011425",
"telephone_number": "818-902-5315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVA",
"first_name": "RAFAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-02",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER, INC.",
"identifier": "225400000X",
"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 Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.