Organization Active NPI

Elite Cbas Center, Inc.

  • Adult Day Care Clinic/Center
  • North Hollywood, CA
National Provider Identifier
1154839264
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ELITE CBAS CENTER, INC.
Practice address
12825 Vanowen St
North Hollywood, CA 91605-5219
Phone
(818) 927-4344
Fax
(818) 927-4345
NPI assigned
Jan 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Khoren Dichigrikian
Title
Ceo
Phone
(818) 927-4344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

12825 Vanowen St
North Hollywood, CA 91605-5219

Mailing address

12825 Vanowen St
North Hollywood, CA 91605-5219
Phone (818) 924-4344

Other names 1

  • Elite CBAS Center, Inc. Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2293490Elite Cbas Center, Inc.12825 Vanowen St, North Hollywood, CA 91605Certificate of waiverNov 8, 2027

National Provider Directory

National Provider Directory

Locations

6730 Laurel Canyon Blvd
North Hollywood, CA 91606

12825 Vanowen St
North Hollywood, CA 91605
Phone (818) 927-4344

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1154839264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12825 VANOWEN ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055219",
            "telephone_number": "818-924-4344",
            "fax_number": "818-927-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12825 VANOWEN ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055219",
            "telephone_number": "818-927-4344",
            "fax_number": "818-927-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CBAS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "DICHIGRIKIAN",
        "authorized_official_first_name": "KHOREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-927-4344"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite CBAS Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.