Organization Active NPI

Vernon Convalescent Hospital

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1336184266
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VERNON CONVALESCENT HOSPITAL
Practice address
1037 W Vernon Ave
Los Angeles, CA 90037-2415
Phone
(323) 232-4895
Fax
(323) 232-3096
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jack Markovitz
Title
President/Owner
Phone
(562) 761-7365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

1037 W Vernon Ave
Los Angeles, CA 90037-2415

Mailing address

1037 W Vernon Ave
Los Angeles, CA 90037-2415
Phone (323) 232-4895

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05167GMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336184266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 W VERNON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372415",
            "telephone_number": "323-232-4895",
            "fax_number": "323-232-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 W VERNON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372415",
            "telephone_number": "323-232-4895",
            "fax_number": "323-232-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON CONVALESCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARKOVITZ",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "562-761-7365",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05167G",
            "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 Aug 22, 2020; 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.