Active NPI
Violet C Mayers, NP
- Primary Care Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1700436433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 95012761
- Practice address
- 5707 10TH Ave
Los Angeles, CA 90043-2527 - Phone
- (323) 474-1842
- NPI assigned
- Sep 15, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 95012761 | CA | Primary |
Addresses
Primary practice location
5707 10TH Ave
Los Angeles, CA 90043-2527
Mailing address
5707 10TH Ave
Los Angeles, CA 90043-2527
Phone (323) 474-1842
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | California | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210722000457 | CA | Order and Referring Only - Nurse Practitioner | 2365845823 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BAFCBA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568505600000",
"number": "1700436433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5707 10TH AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900432527",
"telephone_number": "323-474-1842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5707 10TH AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900432527",
"telephone_number": "323-474-1842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYERS",
"first_name": "VIOLET",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-15",
"last_updated": "2019-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95012761",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "California",
"affiliation": "N",
"endpointDescription": "computer",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Los Angeles",
"address_1": "5707 10th Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900432527",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.