Organization Active NPI

Vermont Family and Women'S Clinic, Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1225476534
Registry record updated Jun 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A52544 Issued in CA
Legal business name
VERMONT FAMILY AND WOMEN'S CLINIC, INC
Practice address
1200 N Vermont Ave
Suite E
Los Angeles, CA 90029-1760
Phone
(805) 610-2821
NPI assigned
Jun 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2013

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

Authorized official

Name
Clem D Rodriguez, MD
Title
Ceo
Phone
(805) 610-2821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A52544 CA Primary

Addresses

Primary practice location

1200 N Vermont Ave
Suite E
Los Angeles, CA 90029-1760

Mailing address

1200 N Vermont Ave
Suite E
Los Angeles, CA 90029-1760

National Provider Directory

National Provider Directory

Locations

1200 N Vermont Ave
Ste E
Los Angeles, CA 90029
Phone (323) 426-9480

NPI Registry JSON

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

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370649600000",
    "number": "1225476534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N VERMONT AVE",
            "address_2": "SUITE E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N VERMONT AVE",
            "address_2": "SUITE E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291760",
            "telephone_number": "805-610-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT FAMILY AND WOMEN'S CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-08",
        "last_updated": "2013-06-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CLEM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-610-2821",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A52544",
            "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 8, 2013; 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.