Active NPI
Woodley Palms Senior Living, Inc.
- Geriatric Medicine (Family Medicine) Physician
- North Hills, CA
National Provider Identifier
1043924350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 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 DirectoryNPI 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.