Axis LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

AXIS LLC

Practice address

3215 Cheviot Vista PL
Los Angeles, CA 90034-3509

Phone

(310) 202-1593

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Dekin

Title

Coo

Phone

(760) 641-3972

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1659748473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 CHEVIOT VISTA PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 CHEVIOT VISTA PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343509",
            "telephone_number": "310-202-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "DEKIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "760-641-3972",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lyndsey Axelrod, PT, DPT
• Joel Axelrod, PA-C
• Kristen Axelsen, PSYD
• David A Axilbund
• Axiom Anesthesia Group Inc
• Axis Medical Group (Alejandro L. Gonzalez, D.O., Inc & Hector F. Luque, D.O., Inc.)
• Axis Psychiatric Services, PC
• Axis Surgery Center, PC (Axis Surgery Center, PC Medical Center)
• Axispt, Inc
• Axminster Medical Group

• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.