NPIMap

Organization Active NPI

Nta Medical Corporation

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1558324947
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G749521 Issued in CA
Legal business name
NTA MEDICAL CORPORATION
Practice address
2815 W Sunset Blvd
Suite #108
Los Angeles, CA 90026-2167
Phone
(213) 484-6995
NPI assigned
Apr 8, 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
Mr. Tony Kiley, MD
Title
Owner
Phone
(213) 484-6995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G749521 CA Primary

Addresses

Primary practice location

2815 W Sunset Blvd
Suite #108
Los Angeles, CA 90026-2167

Mailing address

2815 W Sunset Blvd
Suite #108
Los Angeles, CA 90026-2167
Phone (213) 484-6995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558324947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 W SUNSET BLVD",
            "address_2": "SUITE #108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262167",
            "telephone_number": "213-484-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 W SUNSET BLVD",
            "address_2": "SUITE #108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262167",
            "telephone_number": "213-484-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NTA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILEY",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-484-6995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G749521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.