Organization Active NPI

Van Ness

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1346275872
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0002030788-0001-0 Issued in CA
Legal business name
VAN NESS
Doing business as
VAN NESS
Practice address
4369 S Van Ness Ave
Los Angeles, CA 90062-1454
Phone
(323) 292-3558
Fax
(323) 292-3688
NPI assigned
Jul 12, 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
Ms. Rosa Davitian
Title
Owner
Phone
(323) 292-3558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0002030788-0001-0 CA Primary

Addresses

Primary practice location

4369 S Van Ness Ave
Los Angeles, CA 90062-1454

Mailing address

4369 S Van Ness Ave
Los Angeles, CA 90062-1454
Phone (323) 292-3558

Other names 1

  • VAN NESS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346275872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4369 S VAN NESS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900621454",
            "telephone_number": "323-292-3558",
            "fax_number": "323-292-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4369 S VAN NESS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900621454",
            "telephone_number": "323-292-3558",
            "fax_number": "323-292-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN NESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVITIAN",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-292-3558",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "0002030788-0001-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VAN NESS",
            "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 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.