Ami/Hti Tarzana Encino Joint Venture

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

930000051 Issued in CA

Legal business name

AMI/HTI TARZANA ENCINO JOINT VENTURE

Doing business as

Encino-Tarzana Regional Medical Ctr-Encino

Practice address

16237 Ventura Blvd
Encino, CA 91436-2201

Phone

(818) 881-0800

NPI assigned

Jun 25, 2007

Last updated

Apr 28, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

AMI/HTI TARZANA ENCINO JOINT VENTUREAs reported in NPPES

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

Authorized official

Name

Mr. Douglas E. Rabe

Title

VP of Taxation, Tenet Healthcare

Phone

(469) 893-2466

Specialties & licenses 1

Addresses

Other names 1

• Encino-Tarzana Regional Medical Ctr-Encino Doing business as

Part of

Encinotarzana Reg Med

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1003012360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50585",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001",
            "telephone_number": "626-300-4122",
            "fax_number": "818-907-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16237 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362201",
            "telephone_number": "818-881-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMI/HTI TARZANA ENCINO JOINT VENTURE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMI/HTI TARZANA ENCINO JOINT VENTURE",
        "enumeration_date": "2007-06-25",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "RABE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VP OF TAXATION, TENET HEALTHCARE",
        "authorized_official_telephone_number": "469-893-2466",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "930000051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encino-Tarzana Regional Medical Ctr-Encino",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ami/Hti Tarzana Encino Joint Venture (Encino-Tarzana Regional Medical Ctr-Encino)
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• Skilled Nursing Facility in Encino, CA
• Providers in Encino, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.