Organization Active NPI

Vermont Family and Women Health Services Apc

Doing business as Vermont Family and Women Health Services

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1346054327
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
VERMONT FAMILY AND WOMEN HEALTH SERVICES APC
Doing business as
Vermont Family and Women Health Services
Practice address
1233 N Vermont Ave Ste 2
Los Angeles, CA 90029-1749
Phone
(323) 407-6025
Fax
(323) 407-6034
NPI assigned
Feb 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Authorized official

Name
Ana Rosa Ascencio, CMA
Title
Office Manager
Phone
(213) 219-8054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

1233 N Vermont Ave Ste 2
Los Angeles, CA 90029-1749

Mailing address

1233 N Vermont Ave Ste 2
Los Angeles, CA 90029-1749
Phone (323) 407-6025

Other names 1

  • Vermont Family and Women Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250911003757 CA Part B Supplier - Clinic/Group Practice 5294238614 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2330970Vermont Family and Women Health Services Apc1233 N Vermont Ave, Suite 2, Los Angeles, CA 90029Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Locations

1233 N Vermont Ave
Ste 2
Los Angeles, CA 90029
Phone (323) 407-6025

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1346054327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N VERMONT AVE STE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291749",
            "telephone_number": "323-407-6025",
            "fax_number": "323-407-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N VERMONT AVE STE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291749",
            "telephone_number": "323-407-6025",
            "fax_number": "323-407-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT FAMILY AND WOMEN HEALTH SERVICES APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "ASCENCIO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-219-8054",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermont Family and Women Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.