Canyon Vista Post Acute LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

920000041 Issued in CA

Legal business name

CANYON VISTA POST ACUTE LLC

Practice address

20554 Roscoe Blvd
Canoga Park, CA 91306-1746

Phone

(818) 341-9800

Fax

(818) 341-1925

NPI assigned

Jan 16, 2018

Last updated

Jan 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Solorzano

Title

Manager

Phone

(626) 346-0300

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1093223729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W LEMON AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162809",
            "telephone_number": "626-346-0300",
            "fax_number": "626-737-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20554 ROSCOE BLVD",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913061746",
            "telephone_number": "818-341-9800",
            "fax_number": "818-341-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON VISTA POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "SOLORZANO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-346-0300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18160G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canoga Medical Supply, Inc
• Canoga Park Operations, LLC
• Canoga Park Urgent Care Family Medicine
• Carla Cantoral Orrego
• Canyon Trails at Topanga
• Vanessa Capetillo de Blas
• Laura V Capizzi-Nelson, MFT
• Jonathan Caplan
• Esmeralda Caravante
• Jacqueline Caraza

• Skilled Nursing Facility in Canoga Park, CA
• Providers in Canoga Park, 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 Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.