Individual provider Active NPI

Barbara Runia, RN , CWON

  • Wound Care Registered Nurse
  • La, CA
National Provider Identifier
1467748145
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
2002211227 Issued in CA
Practice address
1700 Westwood Blvd
Suite # 2D
La, CA 90025
Phone
(310) 230-7400
NPI assigned
Jun 22, 2011
Last updated
Jun 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 272695 CA
Wound Care Registered Nurse 163WW0000X 2002211227 CA Primary
Ostomy Care Registered Nurse 163WX1500X 2002211227 CA

Addresses

Primary practice location

1700 Westwood Blvd
Suite # 2D
La, CA 90025

Mailing address

1700 Westwood Blvd Suite # 2D
C/O Babak Roozrokh MD
La, CA 90025
Phone (310) 230-7400

Other identifiers 2

IdentifierTypeStateIssuer
272695OtherCACALIFORNIA LICENCE
2002211227OtherCACWON CERTIFICATE

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
272695CAMDRegistered Nurse
2002211227CAMDWound Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1467748145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WESTWOOD BLVD SUITE # 2D",
            "address_2": "C/O BABAK ROOZROKH MD",
            "city": "LA",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-230-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WESTWOOD BLVD",
            "address_2": "SUITE # 2D",
            "city": "LA",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-230-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNIA",
        "first_name": "BARBARA",
        "credential": "RN , CWON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "272695",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": "2002211227",
            "primary": true
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "CA",
            "license": "2002211227",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENCE",
            "identifier": "272695",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CWON CERTIFICATE",
            "identifier": "2002211227",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.