Active NPI
Shashamane Ethiopia Federal Agents Association (the)
- Exclusive Provider Organization
- Los Angeles, CA
National Provider Identifier
1154714327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- Legal business name
- SHASHAMANE ETHIOPIA FEDERAL AGENTS ASSOCIATION (THE)
- Practice address
- 2157 W 31St St # 2161
Los Angeles, CA 90018-3424 - Phone
- (202) 765-2230
- Fax
- (877) 490-3078
- NPI assigned
- Mar 12, 2015
- 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
- Clayton M. Bernard Ex
- Title
- Controller
- Phone
- (202) 765-2230
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | |||
| Local Education Agency (LEA) | 251300000X | |||
| Exclusive Provider Organization | 302F00000X | Primary |
Addresses
Primary practice location
2157 W 31St St # 2161
Los Angeles, CA 90018-3424
Mailing address
405 Lexington Ave
Chrysler Building 25TH & 26TH Floors
New York, NY 10174-0002
Phone (202) 765-2230
Other names 1
- SEFAA
National Provider Directory
National Provider DirectoryLocations
405 Lexington Ave
Bldg 25TH
New York, NY 10174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426118400000",
"number": "1154714327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 LEXINGTON AVE",
"address_2": "CHRYSLER BUILDING 25TH & 26TH FLOORS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101740002",
"telephone_number": "202-765-2230",
"fax_number": "877-490-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2157 W 31ST ST # 2161",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900183424",
"telephone_number": "202-765-2230",
"fax_number": "877-490-3078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHASHAMANE ETHIOPIA FEDERAL AGENTS ASSOCIATION (THE)",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-12",
"status": "A",
"authorized_official_last_name": "BERNARD EX",
"authorized_official_first_name": "CLAYTON M.",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "202-765-2230"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Veterinarian",
"state": null,
"license": null,
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SEFAA",
"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 Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.