Organization Active NPI

Westlake Health Care Center

  • Skilled Nursing Facility
  • Thousand Oaks, CA
National Provider Identifier
1326111402
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
050000569 Issued in CA
Legal business name
WESTLAKE HEALTH CARE CENTER
Practice address
250 Fairview Rd
Thousand Oaks, CA 91361-2456
Phone
(805) 494-1233
Fax
(805) 494-1411
NPI assigned
Nov 16, 2006
Last updated
Nov 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Ms. Jeoung Hans Lee
Title
President
Phone
(323) 934-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 050000569 CA Primary

Addresses

Primary practice location

250 Fairview Rd
Thousand Oaks, CA 91361-2456

Mailing address

1101 Crenshaw Blvd
Los Angeles, CA 90019-3112
Phone (323) 934-5660

Other identifiers 1

IdentifierTypeStateIssuer
LTC55794FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1326111402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193112",
            "telephone_number": "323-934-5660",
            "fax_number": "323-934-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAIRVIEW RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913612456",
            "telephone_number": "805-494-1233",
            "fax_number": "805-494-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEOUNG",
        "authorized_official_middle_name": "HANS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-934-5660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "050000569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55794F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.