Organization Active NPI

Vistiting Physicians Associates LLC

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1285979831
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
125934OtherCACALIFORNIA LICENSE

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.