Organization Active NPI

Vermont Workers Comp Center, Inc.

  • Occupational Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1457697310
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
A61923 Issued in CA
Legal business name
VERMONT WORKERS COMP CENTER, INC.
Practice address
1234 N Vermont Ave
Los Angeles, CA 90029-1704
Phone
(323) 660-5624
Fax
(323) 389-9128
NPI assigned
Dec 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Imad A El Asmar, M.D.
Title
President
Phone
(323) 660-5624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083X0100X A61923 CA Primary

Addresses

Primary practice location

1234 N Vermont Ave
Los Angeles, CA 90029-1704

Mailing address

1234 N Vermont Ave
Los Angeles, CA 90029-1704
Phone (323) 660-5624

Other identifiers 1

IdentifierTypeStateIssuer
00A619230MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1457697310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291704",
            "telephone_number": "323-660-5624",
            "fax_number": "323-389-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291704",
            "telephone_number": "323-660-5624",
            "fax_number": "323-389-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT WORKERS COMP CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "EL ASMAR",
        "authorized_official_first_name": "IMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-660-5624",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A61923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A619230",
            "state": "CA"
        }
    ],
    "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 Nov 7, 2013; 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.