Dakota Medical Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

920000034 Issued in CA

Legal business name

DAKOTA MEDICAL INC.

Practice address

409 W Glenoaks Blvd
Glendale, CA 91202-2916

Phone

(818) 240-4300

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Henry Levine

Title

Administrator

Phone

(818) 240-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GLENOAKS CONVALESCENT HOSPITAL Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1154474302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022916",
            "telephone_number": "818-240-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022916",
            "telephone_number": "818-240-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-240-4300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18640G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLENOAKS CONVALESCENT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samir Farah Daher, D.C.
• Ann Dahlman, BCAT
• Stephanie Dai
• Sofia Dairi
• Shari Daisy, BCBA
• Natalie Rose Dakov, PHARMD
• Dalar Express
• Fiona Dalir
• Irene Malaguit Daluyen, MD
• Natalie Marilyn Damargi

• Skilled Nursing Facility in Glendale, CA
• Providers in Glendale, 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 Nov 19, 2012; 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.