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).
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 |
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# | 0577621 | 01 |
Other Name | Type Code |
---|---|
WEST LA VAMC 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 |
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 |
Street Address |
11301 WILSHIRE BLVD |
City | LOS ANGELES |
State | CA |
Zip Code | 90073-1003 |
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 |
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 |
Find all providers in zip 90073 |
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 |
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 |
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 |
Find all providers with the same taxonomy |
City | LOS ANGELES |
Zip Code | 90073 |
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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.