Active NPI
Rand Schrader 5P21 Clinic
- Nursing Facility/Intermediate Care Facility
- Los Angeles, CA
National Provider Identifier
1699175364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 272539
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2272951 | Rand Schrader Clinic | Certificate of waiver | Dec 1, 2026 |
National Provider Directory
National Provider DirectoryNPI 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.