Organization Active NPI

Van Ness Health Care Inc.

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1417116773
Registry record updated Mar 8, 2010
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 HEALTH CARE INC.
Practice address
4369 S Van Ness Ave
Los Angeles, CA 90062-1454
Phone
(323) 292-3558
Fax
(323) 292-3688
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Rosa Davidian
Title
President
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

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1417116773",
    "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 HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "DAVIDIAN",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-292-3558"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "0002030788-0001-0",
            "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 Mar 8, 2010; 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.