Organization Active NPI

Pure Health Center

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1962396416
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PURE HEALTH CENTER
Practice address
240 N Virgil Ave Unit 12
Los Angeles, CA 90004-5399
Phone
(213) 322-2400
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Dr. Niloufer Dennis, MDNPI 1124217690
Title
President
Phone
(213) 322-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

240 N Virgil Ave Unit 12
Los Angeles, CA 90004-5399

Mailing address

240 N Virgil Ave Unit 12
Los Angeles, CA 90004-5399
Phone (213) 322-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250725001939 CA Part B Supplier - Clinic/Group Practice 8224544739 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

240 N Virgil Ave
Unit 12
Los Angeles, CA 90004
Phone (213) 389-9100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1962396416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N VIRGIL AVE UNIT 12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045399",
            "telephone_number": "213-322-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N VIRGIL AVE UNIT 12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045399",
            "telephone_number": "213-322-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "NILOUFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-322-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 6, 2025; 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.