NPIMap

Organization Active NPI

Aaspen Village Care

  • Assisted Living Facility
  • Yucca Valley, CA
National Provider Identifier
1093038655
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
3366423704 Issued in CA
Legal business name
AASPEN VILLAGE CARE
Practice address
7633 Kickapoo TRL
Yucca Valley, CA 92284-3339
Phone
(760) 228-2729
NPI assigned
Mar 10, 2010
Last updated
Mar 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Mushtaq Khan, M.D.
Title
C.E.O.
Phone
(310) 383-5176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 3366423704 CA Primary

Addresses

Primary practice location

7633 Kickapoo TRL
Yucca Valley, CA 92284-3339

Mailing address

7633 Kickapoo TRL
Yucca Valley, CA 92284-3339
Phone (760) 228-2729

National Provider Directory

National Provider Directory
Tax ID family
Aaspen Village Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7633 Kickapoo Trl
Yucca Valley, CA 92284
Phone (760) 228-2729

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1093038655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 KICKAPOO TRL",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843339",
            "telephone_number": "760-228-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 KICKAPOO TRL",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843339",
            "telephone_number": "760-228-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AASPEN VILLAGE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUSHTAQ",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "310-383-5176",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "3366423704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.