Theressia L Washington MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THERESSIA L WASHINGTON MD PC

Practice address

1355 N Sierra Bonita Ave Apt 206
West Hollywood, CA 90046-8516

Phone

(310) 275-8377

Fax

(310) 276-8377

NPI assigned

Apr 25, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Theressia Louise Washington, MD

Title

President/Ceo

Phone

(310) 275-8377

Specialties & licenses 6

Addresses

Other names 1

• Virtual Concierge MD Doing business as

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1811685100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD STE 957",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-275-8377",
            "fax_number": "310-276-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N SIERRA BONITA AVE APT 206",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900468516",
            "telephone_number": "310-275-8377",
            "fax_number": "310-276-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESSIA L WASHINGTON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "THERESSIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-275-8377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virtual Concierge MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tatevik A Terteryan, FNP-C
• Nhat Tan Nguyen Thai, PHARM.D
• Justin Phu Than, D.O.
• The Hollywood Therapist
• Nirmala Thejomurthy, MD
• Aaron Parapalilthazhay Thomas, M.D.
• Darryl Thomas
• Jessica Michelle Thomas, MD, MPH
• Lini Thomas, MSN, FNP- C
• Mariam R Thomas, MD

• Primary Care Clinic/Center in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.