Mar Vista Health Center, Inc

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

Last updated

Dec 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wayne Higashi, DCNPI 1528073848

Title

Executive

Phone

(310) 391-2617

Specialties & licenses 7

Addresses

Other names 1

• Sinel Medical Corporation Former legal business name

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.

• Mar Vista Health Center, Inc

  • Non-Pharmacy Dispensing Site
  • Los Angeles, CA
  • NPI 1720301559
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wayne Eichi Higashi, D.C.

  • Chiropractor
  • Los Angeles, CA
  • NPI 1528073848
  Authorized official Same address or phone

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"
        }
    ]
}

• Mohammed Navid Mapara, D.M.D.
• Alyssa R Mapili, SLPA
• Maple Healthcare Center LLC
• Maps Music Arts & Peer Socialization
• Mar Vista Country Villa Healthcare & Wellness Centre, LP
• Mar Vista Health Center, Inc
• Mar Vista Hospice Inc
• Mar Vista Nursing Center LLC (Mar Vista Nursing Center)
• Jerica Mar
• Lauri Y Mar, RDN

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• 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.