WEST LOS ANGELES VAMC (NPI# 1396793428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396793428 |
| Entity Type | Organization |
| Organization Name | WEST LOS ANGELES VAMC |
| Other Organization Name | LOS ANGELES VA CBOC PHARMACY |
| Practice Address |
351 E Temple St Los Angeles CA 90012-3328 |
| Mailing Address |
Po Box 94424 Cleveland OH 44101-4424 |
| Practice Telephone | 3102683152 |
| Practice Fax Number | 3102684959 |
| Mailing Telephone | 7023413152 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | ERIN DENISE POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332100000X | Department of Veterans Affairs (VA) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NCPDP# | 0569713 | 01 |
| Other Name | Type Code |
|---|---|
| LOS ANGELES VA CBOC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841831617 | West Los Angeles Vamc | Clinic/Center | 7 W Foothill Blvd Ste D, Arcadia, CA 91006-2367 | 2019-10-03 |
| 1588606321 | West Los Angeles Vamc | Clinic/Center | 1690 Universe Circle, Oxnard, CA 93033-2441 | 2006-06-12 |
| 1174561799 | West Los Angeles Vamc | Clinic/Center | 1288 Morro St, Suite 200, San Luis Obispo, CA 93401-6301 | 2006-06-04 |
| 1477508950 | West Los Angeles Vamc | Clinic/Center | 5426 E Olympic Blvd, Commerce, CA 90022-5113 | 2006-05-23 |
| 1295788925 | West Los Angeles Vamc | Clinic/Center | 340 East Avenue I, Suite 108, Lancaster, CA 93535-1941 | 2006-05-17 |
| 1285676387 | West Los Angeles Vamc | Clinic/Center | 16111 Plummer St, Sepulveda, CA 91343-2036 | 2006-06-12 |
| 1790727600 | West Los Angeles Vamc | Clinic/Center | 4440 Calle Real, Santa Barbara, CA 93110-1002 | 2006-06-12 |
| 1861432437 | West Los Angeles Vamc | Clinic/Center | 351 E Temple St, Los Angeles, CA 90012-3328 | 2006-06-08 |
| 1124075254 | West Los Angeles Vamc | Clinic/Center | 1500 E Main St, Santa Maria, CA 93454-9998 | 2006-05-27 |
| 1780638254 | West Los Angeles Vamc | Clinic/Center | 1149 W 190th St, First Floor, Gardena, CA 90248-4321 | 2006-05-20 |
| Street Address |
351 E TEMPLE ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90012-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962015453 | Jared Rensberger | Clinical Neuropsychologist | 351 E Temple St, Los Angeles, CA 90012-3328 | 2020-08-25 |
| 1235740754 | Evelyn Perla Gomez | Social Worker | 351 E Temple St, Los Angeles, CA 90012-3328 | 2020-08-10 |
| 1831713973 | Kirstie Victoria Gilmer | Social Worker | 351 E Temple St, Los Angeles, CA 90012-3328 | 2020-06-04 |
| 1932720612 | Raul Barragan | Social Worker | 351 E Temple St, Los Angeles, CA 90012-3328 | 2020-05-04 |
| 1992331110 | Kelly Leigh Leong | Optometrist | 351 E Temple St, Los Angeles, CA 90012-3328 | 2020-03-19 |
| 1861028052 | David Baek | Registered Nurse | 351 E Temple St, Los Angeles, CA 90012-3328 | 2020-03-19 |
| 1982236691 | Radhika Nilesh Patel | Student in an Organized Health Care Education/Training Program | 351 E Temple St, Los Angeles, CA 90012-3328 | 2020-02-10 |
| 1326683822 | Katherine Dautenhahn | Psychologist | 351 E Temple St, Los Angeles, CA 90012-3328 | 2019-11-08 |
| 1750936761 | Johana Vega | Social Worker | 351 E Temple St, Los Angeles, CA 90012-3328 | 2019-08-06 |
| 1669933834 | Courtney Yurecko | Student in an Organized Health Care Education/Training Program | 351 E Temple St, Los Angeles, CA 90012-3328 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654124 | Los Angeles County Children and Families First - Proposition 10 Commis | Case Management | 750 N. Alameda Street, Suite 300, Los Angeles, CA 90012 | 2018-06-26 |
| 1750886511 | Pain Control Clinic | Acupuncturist | 321 E. 1st St. #220, Los Angeles, CA 90012 | 2018-03-26 |
| 1891224325 | Brenda D Sazo | Community Health Worker | 1000 N. Alameda St, # 350, Los Angeles, CA 90012 | 2017-06-08 |
| 1740719012 | Fatemeh Arabpour | Dentist | 505 N Figueroa Apt #534, Los Angeles, CA 90012 | 2017-06-08 |
| 1033667662 | Olga Witrago | Case Manager/Care Coordinator | 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 | 2016-09-12 |
| 1902269962 | Samantha Martinez | Licensed Practical Nurse | 701 West Cesar Chavez Av, Los Angeles, CA 90012 | 2016-03-29 |
| 1760847313 | Maria Emilia Manosa Rosales | Social Worker | 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 | 2015-12-28 |
| 1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
| 1831586288 | Thanh Ngoc Nguyen Trinh | Nurse Practitioner | 180 N Los Angeles St, Los Angeles, CA 90012 | 2015-04-23 |
| 1760880827 | Bertha Regina Garcia | Licensed Vocational Nurse | 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 | 2014-12-05 |
| Find all providers in zip 90012 | ||||
| Taxonomy Code | 332100000X |
| Grouping | Suppliers |
| Classification | Department of Veterans Affairs (VA) Pharmacy |
| Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital’s DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service. |
| Notes: Source: Pharmacy Benefits Management – Strategic Healthcare Group, Veterans Health Administration, Department of Veterans Affairs [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992176192 | Natural Lifestyles LLC. | Department of Veterans Affairs (VA) Pharmacy | 2138 W 109th St, Los Angeles, CA 90047-4609 | 2015-10-13 |
| 1528016862 | West Los Angeles Vamc | Department of Veterans Affairs (VA) Pharmacy | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2006-05-05 |
| 1235187683 | West Los Angeles Vamc | Department of Veterans Affairs (VA) Pharmacy | 351 E Temple St, Los Angeles, CA 90012-3328 | 2006-05-05 |
| 1871541268 | West Los Angeles Vamc | Department of Veterans Affairs (VA) Pharmacy | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124078308 | Palo Alto Vamc | Department of Veterans Affairs (VA) Pharmacy | 201 9th Street, Marina, CA 93933-6039 | 2006-05-11 |
| 1487602025 | Palo Alto Vamc | Department of Veterans Affairs (VA) Pharmacy | 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059 | 2006-05-05 |
| 1598713703 | Martinez Vamc | Department of Veterans Affairs (VA) Pharmacy | 1601 Concord Avenue, Chico, CA 95928-9487 | 2006-05-04 |
| 1164685038 | San Francisco Vamc | Department of Veterans Affairs (VA) Pharmacy | 630 Kings Ct, Ukiah, CA 95482-5003 | 2008-07-09 |
| 1497948442 | San Francisco Vamc | Department of Veterans Affairs (VA) Pharmacy | 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 | 2007-08-23 |
| 1689867632 | San Francisco Vamc | Department of Veterans Affairs (VA) Pharmacy | 930 W Harris St, Eureka, CA 95503-3927 | 2007-08-23 |
| 1396842159 | Mcclellandgmc Va Pharmacy | Department of Veterans Affairs (VA) Pharmacy | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2006-09-20 |
| 1871551002 | West Los Angeles Vamc | Department of Veterans Affairs (VA) Pharmacy | 16111 Plummer St, Sepulveda, CA 91343-2036 | 2006-05-04 |
| 1073561817 | Martinez Vamc | Department of Veterans Affairs (VA) Pharmacy | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2006-05-04 |
| 1588612329 | Martinez Vamc | Department of Veterans Affairs (VA) Pharmacy | 5342 Dudley Blvd Bldg 98, Mcclellan, CA 95652-1012 | 2006-05-04 |
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| City | LOS ANGELES |
| Zip Code | 90012 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.