Organization Active NPI

Panorama Meadows Nursing Center, LP

  • Skilled Nursing Facility
  • Panorama City, CA
National Provider Identifier
1255697405
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PANORAMA MEADOWS NURSING CENTER, LP
Practice address
14857 Roscoe Blvd
Panorama City, CA 91402
Phone
(818) 894-5707
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Authorized official

Name
Mr. Jacob Graff
Title
Partner
Phone
(310) 286-3074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

14857 Roscoe Blvd
Panorama City, CA 91402

Mailing address

1141 S Beverly Dr
3Rd Floor
Los Angeles, CA 90035-1119
Phone (310) 286-3074

Other identifiers 1

IdentifierTypeStateIssuer
ZZT06137GMedicaidCA

National Provider Directory

National Provider Directory

Locations

1141 S Beverly Dr
#3
Los Angeles, CA 90035
Phone (310) 286-3074

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1255697405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 S BEVERLY DR",
            "address_2": "3RD FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351119",
            "telephone_number": "310-286-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14857 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "91402",
            "telephone_number": "818-894-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANORAMA MEADOWS NURSING CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-286-3074",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06137G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.