NPIMap

Organization Active NPI

West Los Angeles Vamc

  • VA Clinic/Center
  • San Luis Obispo, CA
National Provider Identifier
1174561799
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
WEST LOS ANGELES VAMC
Practice address
1288 Morro St
Suite 200
San Luis Obispo, CA 93401-6301
Phone
(702) 341-3152
NPI assigned
Jun 4, 2006
Last updated
Nov 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

1288 Morro St
Suite 200
San Luis Obispo, CA 93401-6301

Mailing address

PO Box 94424
Cleveland, OH 44101-4424
Phone (702) 341-3152

Other names 1

  • San Luis Obispo VA CBOC Other name

National Provider Directory

National Provider Directory
Tax ID family
Arcadia VA Clinic20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

1288 Morro St
Ste 200
San Luis Obispo, CA 93401
Phone (805) 433-7211

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1174561799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94424",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014424",
            "telephone_number": "702-341-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 MORRO ST",
            "address_2": "SUITE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016301",
            "telephone_number": "702-341-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LOS ANGELES VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Luis Obispo VA CBOC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.