Organization Active NPI

Care Coordinator Agency of Ca, Inc.

  • Case Management Agency
  • Encino, CA
National Provider Identifier
1144958257
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CARE COORDINATOR AGENCY OF CA, INC.
Practice address
15760 Ventura Blvd Ste 2030
Encino, CA 91436-3067
Phone
(818) 554-4769
Fax
(909) 257-8981
NPI assigned
Aug 8, 2022
Last updated
Apr 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Geyaneh Vartanian
Title
Ceo
Phone
(818) 554-4769

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Home Health Agency 251E00000X NU

Addresses

Primary practice location

15760 Ventura Blvd Ste 2030
Encino, CA 91436-3067

Mailing address

15760 Ventura Blvd Ste 2030
Encino, CA 91436-3067
Phone (818) 554-4769

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1144958257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15760 VENTURA BLVD STE 2030",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363067",
            "telephone_number": "818-554-4769",
            "fax_number": "909-257-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15760 VENTURA BLVD STE 2030",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363067",
            "telephone_number": "818-554-4769",
            "fax_number": "909-257-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE COORDINATOR AGENCY OF CA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "VARTANIAN",
        "authorized_official_first_name": "GEYANEH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-554-4769"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.