Organization Active NPI

Woodley Palms Senior Living, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • North Hills, CA
National Provider Identifier
1043924350
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
WOODLEY PALMS SENIOR LIVING, INC.
Practice address
9130 Woodley Avenue
North Hills, CA 91343
Phone
(818) 221-3640
Fax
(818) 907-5650
NPI assigned
Jan 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Francis D. Gonzaga
Title
Administrator
Phone
(818) 648-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

9130 Woodley Avenue
North Hills, CA 91343

Mailing address

19610 Singing Hills Drive
Porter Ranch, CA 91326
Phone (818) 648-3080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1043924350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19610 SINGING HILLS DRIVE",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "91326",
            "telephone_number": "818-648-3080",
            "fax_number": "818-907-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 WOODLEY AVENUE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "91343",
            "telephone_number": "818-221-3640",
            "fax_number": "818-907-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLEY PALMS SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "GONZAGA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-648-3080"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.