Active NPI
Cedars Assisted Living
- Assisted Living Facility
- Northridge, CA
National Provider Identifier
1164797528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 197608267
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Psychologist
- Canoga Park, CA
- NPI 1962401919
-
- Physical Medicine & Rehabilitation Physician
- Reseda, CA
- NPI 1376823153
-
- Physician Assistant
- Worcester, MA
- NPI 1386362705
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.