Organization Active NPI

Nufaze Networking Solutions

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1174190565
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NUFAZE NETWORKING SOLUTIONS
Practice address
5250 Santa Monica Blvd Ste 213
Los Angeles, CA 90029-1254
Phone
(323) 570-0270
Fax
(323) 952-5184
NPI assigned
Jun 5, 2021
Last updated
Nov 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Eva S Gomez
Title
President
Phone
(323) 570-0270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

5250 Santa Monica Blvd Ste 213
Los Angeles, CA 90029-1254

Mailing address

5250 Santa Monica Blvd Ste 213
Los Angeles, CA 90029-1254
Phone (323) 570-0270

National Provider Directory

National Provider Directory

Locations

5250 Santa Monica Blvd
Ste 213
Los Angeles, CA 90029
Phone (323) 570-0270

NPI Registry JSON

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1174190565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 SANTA MONICA BLVD STE 213",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291254",
            "telephone_number": "323-570-0270",
            "fax_number": "323-952-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 SANTA MONICA BLVD STE 213",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291254",
            "telephone_number": "323-570-0270",
            "fax_number": "323-952-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUFAZE NETWORKING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-05",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-570-0270"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 1, 2022; 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.