Unknveterans Administration

Primary specialty

Operational (Transportable) Military General Acute Care HospitalTaxonomy code 2865X1600X

License

2865X1600X-MILITARY Issued in CA

Legal business name

UNKNVETERANS ADMINISTRATION

Practice address

21051 Lassen St
Apartment 78
Chatsworth, CA 91311-4273

Phone

(319) 490-9556

NPI assigned

Nov 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul Burton, MSW

Title

Director, Community Care

Phone

(818) 895-9596

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1356520779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16111 PLUMMER ST",
            "city": "SEPULVEDA",
            "state": "CA",
            "postal_code": "913432036",
            "telephone_number": "818-895-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21051 LASSEN ST",
            "address_2": "APARTMENT 78",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114273",
            "telephone_number": "319-490-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNKNVETERANS ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR, COMMUNITY CARE",
        "authorized_official_telephone_number": "818-895-9596",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "261Q00000X-CLINIC/CE",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "261QF0400X-CLINIC/CE",
            "primary": false
        },
        {
            "code": "2865X1600X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital. Operational (Transportable)",
            "state": "CA",
            "license": "2865X1600X-MILITARY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Military Hospital in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Military Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.