Organization Active NPI

St Vincent Senior Citizen Nutrition Program

Doing business as St Vincent Meals on Wheels

  • Meals Provider
  • Los Angeles, CA
National Provider Identifier
1083397798
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
ST VINCENT SENIOR CITIZEN NUTRITION PROGRAM
Doing business as
St Vincent Meals on Wheels
Practice address
2303 Miramar St
Los Angeles, CA 90057-2109
Phone
(213) 484-7775
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Veronica Dover, M.S, LMFT
Title
Ceo
Phone
(213) 484-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X Primary

Addresses

Primary practice location

2303 Miramar St
Los Angeles, CA 90057-2109

Mailing address

2303 Miramar St
Los Angeles, CA 90057-2109
Phone (213) 484-7775

Other names 1

  • St Vincent Meals on Wheels Doing business as

National Provider Directory

National Provider Directory

Locations

2303 Miramar St
Los Angeles, CA 90057
Phone (213) 484-7775

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1083397798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 MIRAMAR ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572109",
            "telephone_number": "213-484-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 MIRAMAR ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572109",
            "telephone_number": "213-484-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT SENIOR CITIZEN NUTRITION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "DOVER",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-484-7775",
        "authorized_official_credential": "M.S, LMFT"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Vincent Meals on Wheels",
            "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 Aug 9, 2023; 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.