Organization Active NPI

Nova Vitae Medical Clinic

  • Clinic/Center
  • Woodland Hills, CA
National Provider Identifier
1306454996
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NOVA VITAE MEDICAL CLINIC
Practice address
5985 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623
Phone
(818) 422-3442
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Allen Yadegar
Title
President
Phone
(818) 422-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5985 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623

Mailing address

5985 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623
Phone (818) 422-3442

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dr@novavitaerehab.com Direct Nova Vitae Recovery Center

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: dr@novavitaerehab.com

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1306454996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5985 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673623",
            "telephone_number": "818-422-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5985 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673623",
            "telephone_number": "818-422-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA VITAE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "YADEGAR",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-422-3442"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dr@novavitaerehab.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Nova Vitae Recovery Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5985 Topanga Canyon Blvd",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913673623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.