NPIMap

Organization Active NPI

Sanavida Medical Group, Inc.

Doing business as Sanavida Vernon

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1952686271
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SANAVIDA MEDICAL GROUP, INC.
Doing business as
Sanavida Vernon
Practice address
987 W Vernon Ave
Los Angeles, CA 90037-3038
Phone
(323) 234-6300
Fax
(323) 234-0100
NPI assigned
Oct 18, 2011
Last updated
Oct 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Authorized official

Name
Dr. Alejandro L Gonzales, DO
Title
Owner
Phone
(626) 664-1279

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
General Practice Physician 208D00000X NU

Addresses

Primary practice location

987 W Vernon Ave
Los Angeles, CA 90037-3038

Mailing address

987 W Vernon Ave
Los Angeles, CA 90037-3038
Phone (323) 234-6300

Other names 1

  • SANAVIDA VERNON Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sanavida Long Beach3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1952686271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 W VERNON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373038",
            "telephone_number": "323-234-6300",
            "fax_number": "323-234-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 W VERNON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373038",
            "telephone_number": "323-234-6300",
            "fax_number": "323-234-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANAVIDA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-664-1279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANAVIDA VERNON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.