Organization Active NPI

Niti V. Peruvemba, D.O., Inc.

  • Non-Pharmacy Dispensing Site
  • Westlake Village, CA
National Provider Identifier
1568819415
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
20A8826 Issued in CA
Legal business name
NITI V. PERUVEMBA, D.O., INC.
Practice address
32144 Agoura Rd
Suite 118
Westlake Village, CA 91361-4031
Phone
(818) 707-0290
Fax
(888) 431-8819
NPI assigned
May 20, 2016
Last updated
Mar 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
NITI V. PERUVEMBA, D.O., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Dr. Niti VaidNPI 1710934336
Title
President/Owner
Phone
(818) 707-0290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 20A8826 CA Primary

Addresses

Primary practice location

32144 Agoura Rd
Suite 118
Westlake Village, CA 91361-4031

Mailing address

32144 Agoura Rd
Suite 118
Westlake Village, CA 91361-4031
Phone (818) 707-0290

National Provider Directory

National Provider Directory
Part of
Niti V Peruvemba DO Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1568819415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD",
            "address_2": "SUITE 118",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614031",
            "telephone_number": "818-707-0290",
            "fax_number": "818-707-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD",
            "address_2": "SUITE 118",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614031",
            "telephone_number": "818-707-0290",
            "fax_number": "888-431-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITI V. PERUVEMBA, D.O., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NITI V. PERUVEMBA, D.O., INC.",
        "enumeration_date": "2016-05-20",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "VAID",
        "authorized_official_first_name": "NITI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-707-0290",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "20A8826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.