Active NPI
Van Ness
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
National Provider Identifier
1346275872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0002030788-0001-0
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.