Active NPI
Kevin Darneil Lasley
- Lodging Provider
- Los Angeles, CA
National Provider Identifier
1871762070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- License
- A3975427
- Practice address
- 313 E 113TH St
Los Angeles, CA 90061-3019 - Phone
- (323) 418-8113
- Fax
- (323) 920-7691
- NPI assigned
- Feb 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | A3975427 | CA | Primary |
Addresses
Primary practice location
313 E 113TH St
Los Angeles, CA 90061-3019
Mailing address
313 E 113TH St
Los Angeles, CA 90061-3019
Phone (323) 418-8113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A3975427 | CA | MD | Lodging Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways to Your Future | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Voluntary or Charitable Agency
- Los Angeles, CA
- NPI 1588860340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1871762070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 E 113TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900613019",
"telephone_number": "323-418-8113",
"fax_number": "323-920-7691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 E 113TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900613019",
"telephone_number": "323-418-8113",
"fax_number": "323-920-7691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASLEY",
"first_name": "KEVIN",
"middle_name": "DARNEIL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-21",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "CA",
"license": "A3975427",
"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 Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.