Organization Active NPI

Lavs Access Center Inc.

  • Vascular Surgery Physician
  • Montebello, CA
National Provider Identifier
1881186377
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A70962 Issued in CA
Legal business name
LAVS ACCESS CENTER INC.
Practice address
620 W Beverly Blvd Ste B
Montebello, CA 90640-3624
Phone
(209) 791-3120
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Joyce M Reyes
Title
Administrator
Phone
(209) 791-3120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X A70962 CA Primary

Addresses

Primary practice location

620 W Beverly Blvd Ste B
Montebello, CA 90640-3624

Mailing address

620 W Beverly Blvd Ste B
Montebello, CA 90640-3624
Phone (209) 791-3120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180816002579 CA Part B Supplier - Clinic/Group Practice 3971852401 Receives reassigned benefits from 2 practitioners
Practice locations: Montebello, CA

National Provider Directory

National Provider Directory

Locations

620 W Beverly Blvd
Ste B
Montebello, CA 90640
Phone (209) 791-3120

1012 W Beverly Blvd
Montebello, CA 90640

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1881186377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W BEVERLY BLVD STE B",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403624",
            "telephone_number": "209-791-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W BEVERLY BLVD STE B",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403624",
            "telephone_number": "209-791-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVS ACCESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-791-3120"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A70962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.