Organization Active NPI

Rand Schrader 5P21 Clinic

  • Nursing Facility/Intermediate Care Facility
  • Los Angeles, CA
National Provider Identifier
1699175364
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
272539 Issued in CA
Legal business name
RAND SCHRADER 5P21 CLINIC
Practice address
1300 N Mission Rd
Los Angeles, CA 90033-1021
Phone
(323) 343-8255
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Lanomay Benjamin, RN
Title
Nurse Manager
Phone
(323) 343-8255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 272539 CA Primary

Addresses

Primary practice location

1300 N Mission Rd
Los Angeles, CA 90033-1021

Mailing address

811 S Wilton PL
Apt 7
Los Angeles, CA 90005-3544

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2272951Rand Schrader Clinic1300 N Mission Road, Los Angeles, CA 90033Certificate of waiverDec 1, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1699175364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S WILTON PL",
            "address_2": "APT 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N MISSION RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331021",
            "telephone_number": "323-343-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAND SCHRADER 5P21 CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "LANOMAY",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "323-343-8255",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "272539",
            "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 Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.