Active NPI
Nova Vitae Medical Clinic
- Clinic/Center
- Woodland Hills, CA
National Provider Identifier
1306454996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Dr@novavitaerehab.com | Direct | Nova Vitae Recovery Center |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.