Active NPI
Mia Vitte, MA, MFT
- Nursing Home Administrator
- Granada Hills, CA
National Provider Identifier
1699975813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- Practice address
- 11847 Balboa Blvd
Granada Hills, CA 91344-2754 - Phone
- (747) 300-2379
- Fax
- (747) 300-2379
- NPI assigned
- Jul 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | Primary |
Addresses
Primary practice location
11847 Balboa Blvd
Granada Hills, CA 91344-2754
Mailing address
360 S Elm Dr Apt 1
Beverly Hills, CA 90212-4628
Phone (310) 272-6666
Other practice location 1
3550 W 6th St
Suite 311
Los Angeles, CA 90020-2827
Phone (213) 487-4200
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Congregate Living, Inc. | Past | Accepting new patients | |
| White Oak Congregate Living Facility, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Skilled Nursing Facility
- Granada Hills, CA
- NPI 1093149072
-
- Skilled Nursing Facility
- Northridge, CA
- NPI 1841662038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1699975813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 S ELM DR APT 1",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902124628",
"telephone_number": "310-272-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11847 BALBOA BLVD",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913442754",
"telephone_number": "747-300-2379",
"fax_number": "747-300-2379"
}
],
"practiceLocations": [
{
"address_1": "3550 W 6th St",
"address_2": "Suite 311",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900202827",
"country_code": "US",
"telephone_number": "213-487-4200",
"fax_number": "213-487-7355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VITTE",
"first_name": "MIA",
"credential": "MA, MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.