West Coast Congregate, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WEST COAST CONGREGATE, INC

Practice address

14905 Sandra St
Mission Hills, CA 91345-1614

Phone

(818) 454-0954

NPI assigned

Mar 25, 2019

Organization subpart

No

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

Authorized official

Name

Tadeh Davudyan

Title

Cfo

Phone

(818) 454-0954

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1013478973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14905 SANDRA ST",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451614",
            "telephone_number": "818-454-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14905 SANDRA ST",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451614",
            "telephone_number": "818-454-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST CONGREGATE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "DAVUDYAN",
        "authorized_official_first_name": "TADEH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-454-0954"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole C Waschak, M.D.
• Thomas J Waskiewicz, M.D.
• Nancy Elizabeth Waters, M.D.
• Maggie M Wei, M.D.
• Emily Elizabeth Wessel
• Ryenn L West, M.D.
• Westcoast Healthcare Services Inc
• Rachel I White, M.D.
• Jennifer Beth Wickenkamp
• Daren Elise Willis, LMFT

• Skilled Nursing Facility in Mission Hills, CA
• Providers in Mission Hills, 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 Mar 25, 2019; 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.