Organization Active NPI

Virgil Sanitarium and Convalescent Hospital Inc.

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1508937343
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VIRGIL SANITARIUM AND CONVALESCENT HOSPITAL INC.
Practice address
975 N Virgil Ave
Los Angeles, CA 90029-2944
Phone
(323) 665-5793
Fax
(323) 665-2683
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Avelina Ramoran
Title
Bookkeeper
Phone
(323) 665-5793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

975 N Virgil Ave
Los Angeles, CA 90029-2944

Mailing address

975 N Virgil Ave
Los Angeles, CA 90029-2944
Phone (323) 665-5793

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05157FMedicaidCA

Other names 1

  • Virgil Convalescent Hospital Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0543281Virgil Convalescent Hospital975 North Virgil Avenue, Los Angeles, CA 90029Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1508937343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 N VIRGIL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292944",
            "telephone_number": "323-665-5793",
            "fax_number": "323-665-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 N VIRGIL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292944",
            "telephone_number": "323-665-5793",
            "fax_number": "323-665-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGIL SANITARIUM AND CONVALESCENT HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "RAMORAN",
        "authorized_official_first_name": "AVELINA",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "323-665-5793"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05157F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virgil Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.