Active NPI
William V La Via, M.D.
- Pediatric Infectious Diseases Physician
- Pacific Palisades, CA
National Provider Identifier
1700146818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- G65031
- Practice address
- 654 Palmera Ave
Pacific Palisades, CA 90272-3356 - Phone
- (415) 315-9037
- Fax
- (301) 398-7418
- NPI assigned
- May 22, 2012
- Last updated
- May 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | G65031 | CA | Primary |
Addresses
Primary practice location
654 Palmera Ave
Pacific Palisades, CA 90272-3356
Mailing address
654 Palmera Ave
Pacific Palisades, CA 90272-3356
Phone (415) 315-9037
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G65031 | CA | MD | Pediatric Infectious Diseases Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1700146818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 PALMERA AVE",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723356",
"telephone_number": "415-315-9037",
"fax_number": "301-398-7418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 PALMERA AVE",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723356",
"telephone_number": "415-315-9037",
"fax_number": "301-398-7418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA VIA",
"first_name": "WILLIAM",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-22",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "CA",
"license": "G65031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pacific Palisades, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.