NPIMap

Organization Active NPI

Eldorado - Van Nuys

  • Community/Behavioral Health Agency
  • Van Nuys, CA
National Provider Identifier
1265864052
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELDORADO - VAN NUYS
Practice address
6265 Sepulveda Blvd Ste 9
Van Nuys, CA 91411-1126
Phone
(818) 779-0555
Fax
(818) 779-0455
NPI assigned
Aug 2, 2013
Last updated
Aug 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Stan Sharma
Title
President
Phone
(661) 254-6630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

6265 Sepulveda Blvd Ste 9
Van Nuys, CA 91411-1126

Mailing address

6265 Sepulveda Blvd Ste 9
Van Nuys, CA 91411-1114
Phone (818) 779-0555

National Provider Directory

National Provider Directory
Tax ID family
Inglewood Mental HLTH12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1265864052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 SEPULVEDA BLVD STE 9",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111114",
            "telephone_number": "818-779-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 SEPULVEDA BLVD STE 9",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111126",
            "telephone_number": "818-779-0555",
            "fax_number": "818-779-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDORADO - VAN NUYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-254-6630"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 19, 2013; 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.