Canyon Properties, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CANYON PROPERTIES, INC.

Practice address

11505 Kagel Canyon St
Lake View Terrace, CA 91342-7240

Phone

(818) 896-5391

Fax

(818) 899-5867

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Miss Susan R Toland, NHA

Title

Administrator

Phone

(818) 896-5391

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Good Shepherd Care Center Doing business as

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144201724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11505 KAGEL CANYON ST",
            "city": "LAKE VIEW TERRACE",
            "state": "CA",
            "postal_code": "913427240",
            "telephone_number": "818-896-5391",
            "fax_number": "818-899-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 KAGEL CANYON ST",
            "city": "LAKE VIEW TERRACE",
            "state": "CA",
            "postal_code": "913427240",
            "telephone_number": "818-896-5391",
            "fax_number": "818-899-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON PROPERTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOLAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-896-5391",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55097E",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Christopher Brennan
• Leslie M Brewer
• Claudia Buenrostro Lares, AMFT, 149184
• Nathaniel Bush Jr.
• Canyon Properties III, LLC
• Monica G Changanaqui
• Yanira Chavez
• Eric Chou
• Brooke Danielle Clark, PPS, MFTI
• Michele Comeaux

• Skilled Nursing Facility in Lake View Terrace, CA
• Providers in Lake View Terrace, 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 Aug 22, 2020; 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.