Organization Active NPI

Mar Vista Health Center, Inc

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1497076277
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27775 Issued in CA
Legal business name
MAR VISTA HEALTH CENTER, INC
Practice address
3030 Sawtelle Blvd
Los Angeles, CA 90066-1408
Phone
(310) 391-2617
Fax
(310) 390-0868
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Wayne Higashi, DC
Title
Executive
Phone
(310) 391-2617

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC27775 CA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC27651 CA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC30839 CA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC10834 CA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC3057 CA
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X G65692 CA
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X C51939 CA

Addresses

Primary practice location

3030 Sawtelle Blvd
Los Angeles, CA 90066-1408

Mailing address

3030 Sawtelle Blvd
Los Angeles, CA 90066-1408
Phone (310) 391-2617

Other names 1

  • Sinel Medical Corporation Former legal business name

National Provider Directory

National Provider Directory

Locations

3030 Sawtelle Blvd
Los Angeles, CA 90066
Phone (310) 390-9018

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1497076277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 SAWTELLE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661408",
            "telephone_number": "310-391-2617",
            "fax_number": "310-390-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 SAWTELLE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661408",
            "telephone_number": "310-391-2617",
            "fax_number": "310-390-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAR VISTA HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "HIGASHI",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "310-391-2617",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27775",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27651",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30839",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10834",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3057",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G65692",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "C51939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sinel Medical Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 28, 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.