Organization Active NPI

Center for Healthy Living, Inc.

  • Health Maintenance Organization
  • Van Nuys, CA
National Provider Identifier
1194853259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
CENTER FOR HEALTHY LIVING, INC.
Practice address
15220 Vanowen St
Van Nuys, CA 91405-3607
Phone
(818) 780-2466
Fax
(818) 780-2465
NPI assigned
Mar 1, 2007
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
Mr. Intekhab Shaikh
Title
Chairman
Phone
(818) 780-2466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X CA Primary

Addresses

Primary practice location

15220 Vanowen St
Van Nuys, CA 91405-3607

Mailing address

15220 Vanowen St
Van Nuys, CA 91405-3607
Phone (818) 780-2466

Other identifiers 1

IdentifierTypeStateIssuer
ADU70209FMedicaidCA

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
05D2027717Center for Healthy Living, Inc15220 Vanowen St, Van Nuys, CA 91405Certificate of waiverJul 28, 2027

National Provider Directory

National Provider Directory

Locations

15220 Vanowen St
Van Nuys, CA 91405
Phone (818) 780-2466

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194853259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15220 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053607",
            "telephone_number": "818-780-2466",
            "fax_number": "818-780-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15220 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053607",
            "telephone_number": "818-780-2466",
            "fax_number": "818-780-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HEALTHY LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "INTEKHAB",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "818-780-2466",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70209F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, 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.
  • 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.