Organization Active NPI

Pulmedic Inc

  • Pulmonary Diagnostics Certified Respiratory Therapist
  • Los Angeles, CA
National Provider Identifier
1093374423
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Diagnostics Certified Respiratory TherapistTaxonomy code 2278P1004X
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

Updated by the provider on Apr 16, 2021

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)CodeLicenseStatePrimary
Pulmonary Diagnostics Certified Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1093374423MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.