WEST LOS ANGELES VAMC


Address: 11301 Wilshire Blvd, Los Angeles, CA 90073-1003
Phone: 3102673152

WEST LOS ANGELES VAMC (NPI# 1871541268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871541268
Entity Type Organization
Organization Name WEST LOS ANGELES VAMC
Other Organization Name WEST LA VAMC PHARMACY
Practice Address 11301 Wilshire Blvd
Los Angeles
CA 90073-1003
Mailing Address Po Box 94424
Cleveland
OH 44101-4424
Practice Telephone 3102673152
Practice Fax Number 3012684959
Mailing Telephone 7023413152
Enumeration Date 2006-05-05
Last Update Date 2018-04-06
Authorized Official Name ERIN DENISE POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332100000X Department of Veterans Affairs (VA) Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
CA NCPDP# 0577621 01

Other Provider/Organization Names

Other Name Type Code
WEST LA VAMC PHARMACY Other Name - Individual/Organization

Other Provider IDs and Locations

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
1396793428 West Los Angeles Vamc Department of Veterans Affairs (VA) Pharmacy 351 E Temple St, Los Angeles, CA 90012-3328 2006-05-04
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

Office Location

Street Address 11301 WILSHIRE BLVD
City LOS ANGELES
State CA
Zip Code 90073-1003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295739043 Mark S Horng Internal Medicine 11301 Wilshire Blvd, 10-c-1, Los Angeles, CA 90073-1003 2005-06-09
1720685944 Sara Magdalin Dietitian, Registered 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-10-01
1336750223 Nathalie Esther Halajian Student in an Organized Health Care Education/Training Program 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-08-13
1811508344 Hillary Xanthe Enclade Speech-Language Pathologist 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-08-10
1356950919 Maren Abromowitz Registered Nurse 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-29
1285243030 Alyson Prince Shittu Registered Nurse 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-28
1124637087 Soheil Kooraki Student in an Organized Health Care Education/Training Program 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-27
1376152371 Ynez Sabio Registered Nurse 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-24
1154949972 Leah Effron Registered Nurse 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-08
1972120988 Justin Man Truong Pharmacist 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-06-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184223851 Emily Jenchura Psychologist 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 2020-10-22
1184285090 Marcela Leticia Orellana Galvez Podiatrist 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 2019-06-23
1508310996 Jennifer Maravola Student in an Organized Health Care Education/Training Program 11303 Wilshire Bl. Bdg 116, New Direction Inc., Los Angeles, CA 90073 2016-08-15
1861859480 Michael Fisher Student in an Organized Health Care Education/Training Program 11303 Willshire Blv., V.a. Building 116, Los Angeles, CA 90073 2016-01-27
1629453295 Christopher Denzel Lewis Student in an Organized Health Care Education/Training Program 11303 Wilshire Blvd., Va Bldg. 116, Los Angeles, CA 90073 2015-07-24
1689089179 Rachel Stannus Social Worker 11303 Wilshire Blvd, Bldg116, Los Angeles, CA 90073 2014-06-24
1215355433 Michael Francis Zito Psychiatry & Neurology 11301 Wilshire Blvd Bldg 210a, Los Angeles, CA 90073 2014-04-03
1831523901 Sarah Arensman Miller Psychologist 11301 Wilshire Blvd. Bldg 256, Rm 106a, Va West Los Angeles (116b), Los Angeles, CA 90073 2013-08-26
1134447733 Stuart Thomas Yee Physical Medicine & Rehabilitation 11301 Wilshire Blvd. Mail Code 117, Los Angeles, CA 90073 2010-05-07
1306177654 Pete Petriashvili Student in an Organized Health Care Education/Training Program 11301 Wilshire Blvd, Building 500, Room 4455, Los Angeles, CA 90073 2010-01-27
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Taxonomy Information

Taxonomy Code 332100000X
Grouping Suppliers
Classification Department of Veterans Affairs (VA) Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1396793428 West Los Angeles Vamc Department of Veterans Affairs (VA) Pharmacy 351 E Temple St, Los Angeles, CA 90012-3328 2006-05-04
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

Providers in the same taxonomy and state

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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Competitor

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City LOS ANGELES
Zip Code 90073

Improve Information

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Dataset Information

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.

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