La Vista Health

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LA VISTA HEALTH

Doing business as

La Vista Health Center

Practice address

1111 Grand Ave Ste L
Diamond Bar, CA 91765-4172

Phone

(909) 551-0205

Fax

(909) 345-7084

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

Melissa A Trevelline, M.D.NPI 1063890929

Title

Ceo

Phone

(724) 462-3975

Specialties & licenses 2

Addresses

Other names 1

• La Vista Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22547/brand/1/csg/1/fhir/r4

Practitioners 4

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

• Melissa A Trevelline, MD

  • Family Medicine Physician
  • Diamond Bar, CA
  • NPI 1063890929
  Medicare reassignment NPD Authorized official
• Carla Hirashima, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Palo Alto, CA
  • NPI 1235622077

  Single Specialty

  Medicare reassignment NPD
• Janelle Jana Warmington, M.D.

  • Obstetrics & Gynecology Physician
  • Pasadena, CA
  • NPI 1588981807
  Medicare reassignment NPD
• Huda Khaleel

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1386907509
  NPD (past)

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1942817804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GRAND AVE STE L",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654172",
            "telephone_number": "909-551-0205",
            "fax_number": "909-345-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GRAND AVE STE L",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654172",
            "telephone_number": "909-551-0205",
            "fax_number": "909-345-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VISTA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-19",
        "status": "A",
        "authorized_official_last_name": "TREVELLINE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-462-3975",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Vista Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La Vista Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Lawrence Kwok, M.D.
• Bryan Kwon, DPT
• Ojin Kwon, D.D.S.
• Christine Kwong
• L. Marillac Group Home
• Amanda La, O.D.
• Laboratory Corporation of America
• Chenyu Lai III, D.D.S.
• Kevin Lai, D.D.S.
• Mingchung Lai, DDS

• Family Medicine Physician in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.