Nursing Infusion Vitality, Inc.

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

Legal business name

NURSING INFUSION VITALITY, INC.

Practice address

21054 Sherman Way Ste 320
Canoga Park, CA 91303-4517

Phone

(747) 226-1230

Fax

(747) 226-1230

NPI assigned

Jan 10, 2022

Organization subpart

No

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

Authorized official

Name

Lourdes Sibal Bautista, PRESIDENT/CEO

Title

RN BSN

Phone

(818) 426-4892

Specialties & licenses 1

Addresses

Tax ID family

Nursing Infusion Vitality Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Radiance Hospice, Inc.

  dba Radiance Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Mission Hills, CA
  • NPI 1457712333
  NPD tax ID

Locations

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1922759125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21054 SHERMAN WAY STE 320",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913034517",
            "telephone_number": "747-226-1230",
            "fax_number": "747-226-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21054 SHERMAN WAY STE 320",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913034517",
            "telephone_number": "747-226-1230",
            "fax_number": "747-226-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING INFUSION VITALITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "SIBAL",
        "authorized_official_title_or_position": "RN BSN",
        "authorized_official_telephone_number": "818-426-4892",
        "authorized_official_credential": "PRESIDENT/CEO"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuera Hospice Inc
• Gilora Marie Nueva Espana
• Alexa Nunez
• Desiree Nunez
• Alexa Nuno
• Clayton O'Connor
• Faith Oak
• Lisa Oborne
• Carlos Ochoa
• Ileana Ochoa

• Infusion Therapy Registered Nurse in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Infusion Therapy Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.