NPIMap

Organization Active NPI

Ventegra, LLC

  • Point of Service
  • Glendale, CA
National Provider Identifier
1730444514
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
VENTEGRA, LLC
Practice address
450 N Brand Blvd
Ste. 600
Glendale, CA 91203-2347
Phone
(858) 551-8111
Fax
(858) 551-8175
NPI assigned
Jul 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Dr. Robert Taketomo, PHARM.D.
Title
President/Ceo
Phone
(858) 551-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

450 N Brand Blvd
Ste. 600
Glendale, CA 91203-2347

Mailing address

450 N Brand Blvd
Ste. 600
Glendale, CA 91203-2347
Phone (858) 551-8111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1730444514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N BRAND BLVD",
            "address_2": "STE. 600",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032347",
            "telephone_number": "858-551-8111",
            "fax_number": "858-551-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N BRAND BLVD",
            "address_2": "STE. 600",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032347",
            "telephone_number": "858-551-8111",
            "fax_number": "858-551-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTEGRA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "TAKETOMO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "858-551-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.