Organization Active NPI

Olive View UCLA Medical Center

  • Community Based Hospice Care Agency
  • Sun Valley, CA
National Provider Identifier
1508924945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
A69455 Issued in CA
Legal business name
OLIVE VIEW UCLA MEDICAL CENTER
Practice address
10125 Bromont Ave
Sun Valley, CA 91352-1147
Phone
(818) 252-5686
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rima Matevosian, M.D.
Title
Chief, Department of Anesthesiolog
Phone
(818) 364-4350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X A69455 CA Primary

Addresses

Primary practice location

10125 Bromont Ave
Sun Valley, CA 91352-1147

Mailing address

10125 Bromont Ave
Sun Valley, CA 91352-1147
Phone (818) 252-5686

National Provider Directory

National Provider Directory
Tax ID family
Tara Littlejohn Gonzales MD - Arbor Pediatrics107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508924945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 BROMONT AVE",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521147",
            "telephone_number": "818-252-5686",
            "fax_number": "818-252-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 BROMONT AVE",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521147",
            "telephone_number": "818-252-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE VIEW UCLA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATEVOSIAN",
        "authorized_official_first_name": "RIMA",
        "authorized_official_title_or_position": "CHIEF, DEPARTMENT OF ANESTHESIOLOG",
        "authorized_official_telephone_number": "818-364-4350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "A69455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.