Active NPI
Michael Vesely, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1396814323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC18992
- Practice address
- 2940 Westwood Blvd
Suite 5
Los Angeles, CA 90064-4145 - Phone
- (310) 446-6699
- Fax
- (310) 446-6253
- NPI assigned
- Nov 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC18992 | CA | Primary |
Addresses
Primary practice location
2940 Westwood Blvd
Suite 5
Los Angeles, CA 90064-4145
Mailing address
2940 Westwood Blvd
Suite 5
Los Angeles, CA 90064-4145
Phone (310) 446-6699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC18992 | CA | MD | Chiropractor |
| 18992 | CA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396814323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 WESTWOOD BLVD",
"address_2": "SUITE 5",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900644145",
"telephone_number": "310-446-6699",
"fax_number": "310-446-6253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 WESTWOOD BLVD",
"address_2": "SUITE 5",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900644145",
"telephone_number": "310-446-6699",
"fax_number": "310-446-6253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESELY",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC18992",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 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.