Organization Active NPI

Cedars Assisted Living

  • Assisted Living Facility
  • Northridge, CA
National Provider Identifier
1164797528
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197608267 Issued in CA
Legal business name
CEDARS ASSISTED LIVING
Practice address
17300 Roscoe Blvd
Northridge, CA 91325-3902
Phone
(818) 344-2042
Fax
(818) 344-1892
NPI assigned
Mar 19, 2012
Last updated
Mar 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Kandice Vergara
Title
Executive Director
Phone
(818) 344-2042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197608267 CA Primary

Addresses

Primary practice location

17300 Roscoe Blvd
Northridge, CA 91325-3902

Mailing address

17300 Roscoe Blvd
Northridge, CA 91325-3902
Phone (818) 344-2042

National Provider Directory

National Provider Directory

Locations

17300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 344-2042

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1164797528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253902",
            "telephone_number": "818-344-2042",
            "fax_number": "818-344-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253902",
            "telephone_number": "818-344-2042",
            "fax_number": "818-344-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "KANDICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-344-2042"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197608267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.