Active NPI
Pulmedic Inc
- Pulmonary Diagnostics Certified Respiratory Therapist
- Los Angeles, CA
National Provider Identifier
1093374423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Diagnostics Certified Respiratory Therapist
- Legal business name
- PULMEDIC INC
- Practice address
- 5250 Santa Monica Blvd Ste 214
Los Angeles, CA 90029-1254 - Phone
- (323) 922-6116
- NPI assigned
- Jun 10, 2019
- 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
- Chantel Ilcel Campos
- Title
- Ceo
- Phone
- (323) 922-6116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Diagnostics Certified Respiratory Therapist | 2278P1004X | Primary |
Addresses
Primary practice location
5250 Santa Monica Blvd Ste 214
Los Angeles, CA 90029-1254
Mailing address
5250 Santa Monica Blvd Ste 214
Los Angeles, CA 90029-1254
Phone (323) 922-6116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093374423 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
5250 Santa Monica Blvd
Ste 214
Los Angeles, CA 90029
Phone (323) 665-2448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618531200000",
"number": "1093374423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 SANTA MONICA BLVD STE 214",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291254",
"telephone_number": "323-922-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 SANTA MONICA BLVD STE 214",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291254",
"telephone_number": "323-922-6116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMEDIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-10",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A",
"authorized_official_last_name": "CAMPOS",
"authorized_official_first_name": "CHANTEL",
"authorized_official_middle_name": "ILCEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-922-6116"
},
"taxonomies": [
{
"code": "2278P1004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093374423",
"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 Apr 16, 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.