Individual provider Active NPI

Vanvisa Gitjarungert, D.C.

  • Chiropractor
  • Van Nuys, CA
National Provider Identifier
1902042427
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-31055 Issued in CA
Practice address
13746 Victory Blvd
Suite 106
Van Nuys, CA 91401-6717
Phone
(818) 359-6201
Fax
(818) 475-1456
NPI assigned
Jan 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-31055 CA Primary

Addresses

Primary practice location

13746 Victory Blvd
Suite 106
Van Nuys, CA 91401-6717

Mailing address

13746 Victory Blvd
Suite 106
Van Nuys, CA 91401-6717
Phone (818) 359-6201

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-31055CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1902042427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD",
            "address_2": "SUITE 106",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016717",
            "telephone_number": "818-359-6201",
            "fax_number": "818-475-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD",
            "address_2": "SUITE 106",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016717",
            "telephone_number": "818-359-6201",
            "fax_number": "818-475-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITJARUNGERT",
        "first_name": "VANVISA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31055",
            "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 Jun 20, 2018; 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.