Organization Active NPI

Shashamane Ethiopia Federal Agents Association (the)

  • Exclusive Provider Organization
  • Los Angeles, CA
National Provider Identifier
1154714327
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
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

Updated by the provider on Mar 12, 2015

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)CodeLicenseStatePrimary
VeterinarianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.