Organization Active NPI

Omnibus Clinical Research

  • Clinic/Center
  • La Palma, CA
National Provider Identifier
1760872048
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A41795 Issued in CA
Legal business name
OMNIBUS CLINICAL RESEARCH
Practice address
5471 La Palma Ave Ste 200
La Palma, CA 90623-4702
Phone
(714) 828-9888
Fax
(714) 828-4888
NPI assigned
Jan 26, 2015
Last updated
Jan 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Violet Luiszer
Title
Administrator
Phone
(714) 828-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A41795 CA Primary

Addresses

Primary practice location

5471 La Palma Ave Ste 200
La Palma, CA 90623-4702

Mailing address

5471 La Palma Ave Ste 200
La Palma, CA 90623-4702
Phone (714) 828-9888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1760872048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 LA PALMA AVE STE 200",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906234702",
            "telephone_number": "714-828-9888",
            "fax_number": "714-828-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 LA PALMA AVE STE 200",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906234702",
            "telephone_number": "714-828-9888",
            "fax_number": "714-828-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIBUS CLINICAL RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "LUISZER",
        "authorized_official_first_name": "VIOLET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-828-9888"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A41795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.