Organization Active NPI

Veterans Affairs Healthcare System

  • Military Hospital
  • Los Angeles, CA
National Provider Identifier
1871686550
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
1672 Issued in CA
Legal business name
VETERANS AFFAIRS HEALTHCARE SYSTEM
Practice address
11301 Wilshire Blvd
Los Angeles, CA 90073
Phone
(310) 478-3711
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Chanda Nicole Simon, MHA, RKT
Title
Registered Kinesiotherapist
Phone
(323) 478-3711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 1672 CA Primary

Addresses

Primary practice location

11301 Wilshire Blvd
Los Angeles, CA 90073

Mailing address

8839 Orchard Ave
Los Angeles, CA 90044
Phone (323) 971-1338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871686550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8839 ORCHARD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90044",
            "telephone_number": "323-971-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90073",
            "telephone_number": "310-478-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS AFFAIRS HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "CHANDA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "REGISTERED KINESIOTHERAPIST",
        "authorized_official_telephone_number": "323-478-3711",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHA, RKT"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "CA",
            "license": "1672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.