VA Greater Los Angeles Health System

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

VN265847 Issued in CA

Legal business name

VA GREATER LOS ANGELES HEALTH SYSTEM

Practice address

29024 Dune LN Apt 102
Canyon Country, CA 91387-5309

Phone

(818) 934-3068

NPI assigned

Jun 16, 2016

Last updated

Jun 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beatriz Ventura Esparza, LVN

Title

LVN

Phone

(818) 934-3068

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1750731154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29024 DUNE LN APT 102",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913875309",
            "telephone_number": "818-934-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29024 DUNE LN APT 102",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913875309",
            "telephone_number": "818-934-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA GREATER LOS ANGELES HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "VENTURA ESPARZA",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "LVN",
        "authorized_official_telephone_number": "818-934-3068",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "VN265847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.