Sam Vaziri Vance Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

SAM VAZIRI VANCE INC.

Practice address

7119 1/2 W Sunset Blvd FL 2
Los Angeles, CA 90046-4411

Phone

(310) 600-0097

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Alina Kievsky, NP-CNPI 1295009306

Title

VP

Phone

(310) 600-0097

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sama Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Alina Kievsky, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1295009306
  NPD Authorized official

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1891448874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 1/2 W SUNSET BLVD FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 1/2 W SUNSET BLVD FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464411",
            "telephone_number": "310-600-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM VAZIRI VANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "KIEVSKY",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "310-600-0097",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "PG0041887001",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "practicefusion.com",
            "affiliation": "N",
            "address_1": "7119 W Sunset Blvd Fl 2",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900464411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Care Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.