Active NPI
Nan Victoria Heard
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
National Provider Identifier
1497845879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- C42653
- Practice address
- 11301 Wilshire Blvd
BLDG 500 RM 1254
Los Angeles, CA 90073-1003 - Phone
- (310) 268-3091
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | C42653 | CA | Primary |
Addresses
Primary practice location
11301 Wilshire Blvd
BLDG 500 RM 1254
Los Angeles, CA 90073-1003
Mailing address
10736 Jefferson Blvd
#725
Culver City, CA 90230-4933
Phone (310) 268-3091
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 |
|---|---|---|---|
| C42653 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1497845879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10736 JEFFERSON BLVD",
"address_2": "#725",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304933",
"telephone_number": "310-268-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD",
"address_2": "BLDG 500 RM 1254",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "310-268-3091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARD",
"first_name": "NAN",
"middle_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "C42653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Matthew Patrick Healy, M.D.
- Patricia Healy, MFT
- Anthony P Heaney, M.D.
- James M Heaps, M.D.
- Morgan Heard
- Hearing Aid Services of Hollywood Inc
- Hearing Health Centers LLC
- Eileen V. Hearn, D.C.
- Heart 2 Heart Healthservice and Adultdaycare
- Heart 2 Heart Therapy a Professional Marriage and Family Therapy Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.