Individual provider Active NPI

Arden L Van Amburg

  • Lactation Consultant (Non-RN)
  • Los Angeles, CA
National Provider Identifier
1619702016
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-305255 Issued in CA
Practice address
3491 Cahuenga Blvd W Unit a
Los Angeles, CA 90068-1338
Phone
(818) 431-1118
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X L-305255 CA Primary

Addresses

Primary practice location

3491 Cahuenga Blvd W Unit a
Los Angeles, CA 90068-1338

Mailing address

19847 Selene CT
Porter Ranch, CA 91326-4301
Phone (818) 288-5970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L-305255CAMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
MCH Ventures, Inc. Lactation Consultant, Non-RN CurrentSince Sep 8, 2024 Accepting new patients

Locations

3491 Cahuenga Blvd W
#A
Los Angeles, CA 90068
Phone (818) 431-1118

3415 S Sepulveda Blvd
Fl 12
Los Angeles, CA 90034

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1619702016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19847 SELENE CT",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264301",
            "telephone_number": "818-288-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 CAHUENGA BLVD W UNIT A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681338",
            "telephone_number": "818-431-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN AMBURG",
        "first_name": "ARDEN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-305255",
            "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 Sep 5, 2024; 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.