Lca Vantage Healthcare Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LCA VANTAGE HEALTHCARE CORPORATION

Practice address

100 M St SE Ste 600
Washington, DC 20003-3648

Phone

(202) 631-9504

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Vincent Joseph Lopez

Title

Founder & Ceo

Phone

(202) 631-9504

Specialties & licenses 2

Addresses

Other names 1

• LCA Vantage Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1609531748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 M ST SE STE 600",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033648",
            "telephone_number": "202-631-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 M ST SE STE 600",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033648",
            "telephone_number": "202-631-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCA VANTAGE HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "202-631-9504",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "healthexchange.ourparker.com",
            "affiliation": "N",
            "endpointDescription": "OAUTH2 FHIR Health Exchange REST  Service",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "JSON",
            "address_1": "100 M St SE Ste 600",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200033648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LCA Vantage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iris Lazo Perla
• Rubidia Del Carmen Lazo Perla
• Blanca Lazo
• Nancy Lazo
• Zoila Esperanza Lazo
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• Bao-Quyen Thi Le, DMD
• Hai Ngoc Le
• Jennifer Le

• Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.