Organization Active NPI

Virgil Medical Center Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1205232428
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VIRGIL MEDICAL CENTER INC
Practice address
240 N Virgil Ave
Unit 6
Los Angeles, CA 90004-5399
Phone
(213) 487-7089
Fax
(213) 487-7089
NPI assigned
Nov 16, 2014
Last updated
Nov 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Anjana S Sura, MD
Title
President
Phone
(213) 487-7086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

240 N Virgil Ave
Unit 6
Los Angeles, CA 90004-5399

Mailing address

240 N Virgil Ave
Unit 6
Los Angeles, CA 90004-5399
Phone (213) 487-7086

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1205232428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N VIRGIL AVE",
            "address_2": "UNIT 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045399",
            "telephone_number": "213-487-7086",
            "fax_number": "213-487-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N VIRGIL AVE",
            "address_2": "UNIT 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045399",
            "telephone_number": "213-487-7089",
            "fax_number": "213-487-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGIL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-16",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "SURA",
        "authorized_official_first_name": "ANJANA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-487-7086",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "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 20, 2014; 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.