Active NPI
Vistiting Physicians Associates LLC
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1285979831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VISTITING PHYSICIANS ASSOCIATES LLC
- Practice address
- 5455 Wilshire Blvd
Suite 1002
Los Angeles, CA 90036-4201 - Phone
- (347) 247-0300
- NPI assigned
- Dec 9, 2012
- Last updated
- Sep 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Boules Salib, MD
- Title
- Owner
- Phone
- (347) 247-0300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
5455 Wilshire Blvd
Suite 1002
Los Angeles, CA 90036-4201
Mailing address
5455 Wilshire Blvd
Suite 1002
Los Angeles, CA 90036-4201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125934 | Other | CA | CALIFORNIA LICENSE |
National Provider Directory
National Provider DirectoryLocations
5455 Wilshire Blvd
Ste 1002
Los Angeles, CA 90036
Phone (310) 200-8815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378252800000",
"number": "1285979831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 WILSHIRE BLVD",
"address_2": "SUITE 1002",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 WILSHIRE BLVD",
"address_2": "SUITE 1002",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364201",
"telephone_number": "347-247-0300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTITING PHYSICIANS ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-09",
"last_updated": "2013-09-04",
"status": "A",
"authorized_official_last_name": "SALIB",
"authorized_official_first_name": "BOULES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-247-0300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE",
"identifier": "125934",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Vista del Sol LTC, Inc. (Vista Del Sol Care Center)
- Vista Medical Partners a Professional Corporation
- Vista West Health Center LP (Vista West Health Center)
- Gillian Amber Vista
- Josefina Billedo Viste, MD
- Anette Paulina Vistoso Monreal
- Nisha Viswanathan, M.D.
- Vita Health Solutions Inc (Dr. Drip)
- Cristine Vita
- Vital Care Ambulance Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.