San Vicente Women'S Total Health Center Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A044819 Issued in CA

Legal business name

SAN VICENTE WOMEN'S TOTAL HEALTH CENTER INC

Practice address

6310 San Vicente Blvd
Ste220
Los Angeles, CA 90048-5426

Phone

(310) 274-9977

Fax

(310) 274-0595

NPI assigned

Dec 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Violet Boodaghains, M.D.

Title

Owner/President

Phone

(310) 274-9977

Specialties & licenses 1

Addresses

Other names 1

• VIOLET BOODAGHIANS Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

San Vicente Women S Total Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• San Vincente Women'S Total Health Center Inc

  • Clinic Pharmacy
  • Los Angeles, CA
  • NPI 1710437231
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claire Bravo, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1477847309
  Medicare reassignment Care Compare group
• Anna Milanesi, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • West Hollywood, CA
  • NPI 1972750727
  Medicare reassignment Care Compare group
• Candice Shirin Daneshvar, MDD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1841550597
  NPD (past)

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1851669741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD",
            "address_2": "STE220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485426",
            "telephone_number": "310-274-9977",
            "fax_number": "310-274-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD",
            "address_2": "STE220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485426",
            "telephone_number": "310-274-9977",
            "fax_number": "310-274-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN VICENTE WOMEN'S TOTAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "BOODAGHAINS",
        "authorized_official_first_name": "VIOLET",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-274-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A044819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIOLET BOODAGHIANS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• San Lucas Medical Clinic, Inc.
• Kevin San Luis, DNP
• San Mateo Medical Clinic, Inc
• Jacqueline San Nicolas
• San Vicente Surgery Center, LLC
• San Vincente Women'S Total Health Center Inc
• Samoan San
• Sandy San
• Tin Moe San
• Sana Medical Group, Inc.

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.