NPIMap

Organization Active NPI

Axispt, Inc

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1255369260
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
24988 Issued in CA
Legal business name
AXISPT, INC
Practice address
708 W 1St St
Los Angeles, CA 90012-2442
Phone
(213) 617-2947
Fax
(213) 617-2903
NPI assigned
Jun 29, 2006
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Miss Cynthia Vazquez, CMB
Title
Medical Claims Processor
Phone
(213) 617-2947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 24988 CA Primary

Addresses

Primary practice location

708 W 1St St
Los Angeles, CA 90012-2442

Mailing address

708 W 1St St
Los Angeles, CA 90012-2442
Phone (213) 617-2947

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ66237ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051222000683 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3476575044 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

708 W 1st St
Los Angeles, CA 90012
Phone (213) 617-2947

Practitioners & affiliated clinicians

Practitioners 12

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1255369260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122442",
            "telephone_number": "213-617-2947",
            "fax_number": "213-617-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122442",
            "telephone_number": "213-617-2947",
            "fax_number": "213-617-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXISPT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "MEDICAL CLAIMS PROCESSOR",
        "authorized_official_telephone_number": "213-617-2947",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CMB"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "24988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ66237Z",
            "state": "CA"
        }
    ],
    "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 Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.