NPIMap

Organization Active NPI

Florence Western Medical Clinic Inc

  • Family Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1891123782
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A52385 Issued in CA
Legal business name
FLORENCE WESTERN MEDICAL CLINIC INC
Practice address
15216 Vanowen St
Suite 2C
Van Nuys, CA 91405-3601
Phone
(213) 840-2356
NPI assigned
Oct 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Authorized official

Name
Dr. Kevin Thomas, MD
Title
Owner
Phone
(323) 778-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A52385 CA Primary

Addresses

Primary practice location

15216 Vanowen St
Suite 2C
Van Nuys, CA 91405-3601

Mailing address

15216 Vanowen St
Suite 2C
Van Nuys, CA 91405-3601
Phone (213) 840-2356

National Provider Directory

National Provider Directory
Tax ID family
Florence Western Med CLNC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

15216 Vanowen St
Ste 2C
Van Nuys, CA 91405
Phone (213) 840-2356

NPI Registry JSON

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1891123782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15216 VANOWEN ST",
            "address_2": "SUITE 2C",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053601",
            "telephone_number": "213-840-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15216 VANOWEN ST",
            "address_2": "SUITE 2C",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053601",
            "telephone_number": "213-840-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE WESTERN MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-31",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-778-2131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.