Aliva Health & Wellnes Center, a Nursing Corporation

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

6531 Issued in CA

Legal business name

ALIVA HEALTH & WELLNES CENTER, A NURSING CORPORATION

Practice address

420 East 3Rd Street
Suite 810
Los Angeles, CA 90013-1647

Phone

(213) 625-0717

Fax

(213) 625-0770

NPI assigned

Dec 23, 2011

Organization subpart

No

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

Authorized official

Name

Margaret Avila, RN, MSN, PHN, NPNPI 1922214402

Title

President

Phone

(310) 710-1723

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margaret Avila, RN-NP

  • Adult Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1922214402
  NPD (past) Authorized official

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1902175730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 EAST 3RD STREET",
            "address_2": "SUITE 810",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131647",
            "telephone_number": "213-625-0717",
            "fax_number": "213-625-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 EAST 3RD STREET",
            "address_2": "SUITE 810",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131647",
            "telephone_number": "213-625-0717",
            "fax_number": "213-625-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVA HEALTH & WELLNES CENTER, A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-710-1723",
        "authorized_official_credential": "RN, MSN, PHN, NP"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "6531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6531",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.