Organization Active NPI

Viva Med LLC.

  • Durable Medical Equipment & Medical Supplies
  • Granada Hills, CA
National Provider Identifier
1720375835
Registry record updated Jul 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5524 Issued in CA
Legal business name
VIVA MED LLC.
Practice address
15701 Tulsa St
Granada Hills, CA 91344-5524
Phone
(301) 379-5738
NPI assigned
Jul 9, 2011
Last updated
Jul 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2011

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

Authorized official

Name
Mrs. Victorine Foma
Title
Managing Director
Phone
(301) 379-5738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5524 CA Primary

Addresses

Primary practice location

15701 Tulsa St
Granada Hills, CA 91344-5524

Mailing address

15701 Tulsa St
Granada Hills, CA 91344-5524
Phone (301) 379-5738

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1310169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310169600000",
    "number": "1720375835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 TULSA ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445524",
            "telephone_number": "301-379-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15701 TULSA ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445524",
            "telephone_number": "301-379-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA MED LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-09",
        "last_updated": "2011-07-09",
        "status": "A",
        "authorized_official_last_name": "FOMA",
        "authorized_official_first_name": "VICTORINE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "301-379-5738",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "5524",
            "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 Jul 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.