Active NPI
VA Hospital
- Community Health Clinic/Center
- Los Angeles, CA
National Provider Identifier
1558470203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- VA HOSPITAL
- Practice address
- 351 E Temple St
Los Angeles, CA 90012-3328 - Phone
- (213) 253-2677
- NPI assigned
- Aug 29, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Samusideen Enigbokan, NURSING
- Title
- Registered Nurse
- Phone
- (213) 253-2677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | NU | Primary |
Addresses
Primary practice location
351 E Temple St
Los Angeles, CA 90012-3328
Mailing address
3507 Floresta Ave
Los Angeles, CA 90043-1850
Phone (323) 228-9631
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558470203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3507 FLORESTA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900431850",
"telephone_number": "323-228-9631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 E TEMPLE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900123328",
"telephone_number": "213-253-2677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VA HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ENIGBOKAN",
"authorized_official_first_name": "SAMUSIDEEN",
"authorized_official_title_or_position": "REGISTERED NURSE",
"authorized_official_telephone_number": "213-253-2677",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NURSING"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- VA Greater Los Angeles Healthcare System
- VA Greater Los Angeles Healthcare System
- VA Greater Los Angeles Healthcare System, West Los Angeles126
- VA Greater Los Angeles Medical Center
- VA Greater Los Angeles Nuclear Medicine Department
- VA Medical Center
- VA Medical Center of West la
- VA Wla Healthcare Center
- Vabrige Home Health Care
- Gabriela Vaca-Flores, RDN
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.