Organization Active NPI

Verdugo Valley Convalescent Hospital

  • Skilled Nursing Facility
  • Chatsworth, CA
National Provider Identifier
1174601280
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VERDUGO VALLEY CONVALESCENT HOSPITAL
Practice address
9420 Topanga Canyon Blvd
#207
Chatsworth, CA 91311-5759
Phone
(818) 882-7740
Fax
(818) 882-7764
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barbara Khatchadurian
Title
VP
Phone
(818) 882-7740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

9420 Topanga Canyon Blvd
#207
Chatsworth, CA 91311-5759

Mailing address

9420 Topanga Canyon Blvd
#207
Chatsworth, CA 91311-5759
Phone (818) 882-7740

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05346HMedicaidCA

National Provider Directory

National Provider Directory

Locations

9420 Topanga Canyon Blvd
Ste 207
Chatsworth, CA 91311
Phone (818) 882-7740

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174601280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 TOPANGA CANYON BLVD",
            "address_2": "#207",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913115759",
            "telephone_number": "818-882-7740",
            "fax_number": "818-882-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 TOPANGA CANYON BLVD",
            "address_2": "#207",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913115759",
            "telephone_number": "818-882-7740",
            "fax_number": "818-882-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDUGO VALLEY CONVALESCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHATCHADURIAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "818-882-7740"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05346H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.