Active NPI
Lavelle Larue II
- Private Vehicle
- Calabasas, CA
National Provider Identifier
1750098281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 8TVP754
- Practice address
- 4500 Park Granada
Calabasas, CA 91302-1663 - Phone
- (213) 667-6944
- NPI assigned
- Nov 3, 2022
- 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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 8TVP754 | CA | Primary |
Addresses
Primary practice location
4500 Park Granada
Calabasas, CA 91302-1663
Mailing address
4500 Park Granada
Calabasas, CA 91302-1663
Phone (213) 667-6944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88-1668629 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8TVP754 | CA | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1750098281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 PARK GRANADA",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021663",
"telephone_number": "213-667-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 PARK GRANADA",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021663",
"telephone_number": "213-667-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARUE",
"first_name": "LAVELLE",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "CA",
"license": "8TVP754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "88-1668629",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.