BV General, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940000025 Issued in CA

Legal business name

BV GENERAL, INC.

Practice address

1016 S Record Ave
Los Angeles, CA 90023-2533

Phone

(323) 268-0106

Fax

(323) 268-2010

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Edward Keh

Title

Member

Phone

(818) 247-6200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Buena Ventura Care Center Doing business as

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1780680967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053316",
            "telephone_number": "818-247-6200",
            "fax_number": "818-247-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 S RECORD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232533",
            "telephone_number": "323-268-0106",
            "fax_number": "323-268-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BV GENERAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "KEH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "818-247-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC05697F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "05D0676352",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buena Ventura Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Los Angeles, CA
• Providers in Los Angeles, 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 Apr 11, 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.