Active NPI
Adastra Adult Care Inc.
- Assisted Living Facility
- Granada Hills, CA
National Provider Identifier
1265236137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ADASTRA ADULT CARE INC.
- Practice address
- 10747 Gothic Ave
Granada Hills, CA 91344-5231 - Phone
- (323) 327-8554
- NPI assigned
- Apr 1, 2025
- 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
- Ariel Mastov
- Title
- Administrator
- Phone
- (323) 327-8662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
10747 Gothic Ave
Granada Hills, CA 91344-5231
Mailing address
7939 Cowper Ave
West Hills, CA 91304-6101
Phone (323) 327-8554
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743465600000",
"number": "1265236137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7939 COWPER AVE",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913046101",
"telephone_number": "323-327-8554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10747 GOTHIC AVE",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445231",
"telephone_number": "323-327-8554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADASTRA ADULT CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-01",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A",
"authorized_official_last_name": "MASTOV",
"authorized_official_first_name": "ARIEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "323-327-8662"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.