On Demand Telehealth a Nursing Corporation

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

ON DEMAND TELEHEALTH A NURSING CORPORATION

Practice address

1230 Madera Rd Ste 5-162
Simi Valley, CA 93065-4045

Phone

(805) 813-7979

NPI assigned

Nov 22, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Klar Fulgentes Pasilaban

Title

Owner

Phone

(805) 813-7979

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1952068280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 MADERA RD STE 5-162",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MADERA RD STE 5-162",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654045",
            "telephone_number": "805-813-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON DEMAND TELEHEALTH A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "PASILABAN",
        "authorized_official_first_name": "KLAR",
        "authorized_official_middle_name": "FULGENTES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-813-7979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.