Individual provider Active NPI

Savy Ven, PAC

  • Medical Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1225323421
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA21323 Issued in CA
Practice address
2405 W 8TH St Ste 105
Los Angeles, CA 90057-5016
Phone
(909) 971-9334
Fax
(909) 971-9654
NPI assigned
Jun 15, 2011
Last updated
Jun 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA21323 CA Primary

Addresses

Primary practice location

2405 W 8TH St Ste 105
Los Angeles, CA 90057-5016

Mailing address

2405 W 8TH St Ste 105
Los Angeles, CA 90057-5016
Phone (909) 971-9334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
21323CAMDPediatric Dentist
PA21323CAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1225323421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 W 8TH ST STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900575016",
            "telephone_number": "909-971-9334",
            "fax_number": "909-971-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 W 8TH ST STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900575016",
            "telephone_number": "909-971-9334",
            "fax_number": "909-971-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEN",
        "first_name": "SAVY",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21323",
            "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 Jun 15, 2011; 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.