NPIMap

Organization Active NPI

VA Medical Center

  • Military Hospital
  • Van Nuys, CA
National Provider Identifier
1245785179
Registry record updated Aug 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
95004376 Issued in CA
Legal business name
VA MEDICAL CENTER
Practice address
5939 Cedros Ave Apt a
Van Nuys, CA 91411-3104
Phone
(310) 500-0430
NPI assigned
Aug 21, 2016
Last updated
Aug 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2016

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

Authorized official

Name
Marie Madamba
Title
FNP-BC
Phone
(310) 500-0430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 95004376 CA Primary

Addresses

Primary practice location

5939 Cedros Ave Apt a
Van Nuys, CA 91411-3104

Mailing address

5939 Cedros Ave Apt a
Van Nuys, CA 91411-3104

National Provider Directory

National Provider Directory
Tax ID family
Navy Medical Branch Clinic - Uk200 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471737600000",
    "number": "1245785179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 CEDROS AVE APT A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914113104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 CEDROS AVE APT A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914113104",
            "telephone_number": "310-500-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-21",
        "last_updated": "2016-08-21",
        "status": "A",
        "authorized_official_last_name": "MADAMBA",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "FNP-BC",
        "authorized_official_telephone_number": "310-500-0430"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "CA",
            "license": "95004376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; 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.