Active NPI
Luis F Vita, CRT
- Certified Respiratory Therapist
- Carson, CA
National Provider Identifier
1487950341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 30302
- Practice address
- 1 Civic Plaza Dr
625
Carson, CA 90745-2243 - Phone
- (310) 549-4500
- NPI assigned
- Feb 9, 2011
- 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 30302 | CA | Primary |
Addresses
Primary practice location
1 Civic Plaza Dr
625
Carson, CA 90745-2243
Mailing address
1542 E 218TH St
Carson, CA 90745-2441
Phone (310) 830-7090
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30302 | CA | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1487950341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1542 E 218TH ST",
"city": "CARSON",
"state": "CA",
"postal_code": "907452441",
"telephone_number": "310-830-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CIVIC PLAZA DR",
"address_2": "625",
"city": "CARSON",
"state": "CA",
"postal_code": "907452243",
"telephone_number": "310-549-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITA",
"first_name": "LUIS",
"middle_name": "F",
"credential": "CRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-09",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "CA",
"license": "30302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.