Santa Ani Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SANTA ANI HEALTHCARE

Practice address

14543 Friar Street Suite 299
Van Nuys, CA 91411

Phone

(904) 990-0099

NPI assigned

May 21, 2021

Organization subpart

No

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

Authorized official

Name

Seryozha Vardazaryan

Title

Ceo

Phone

(904) 990-0099

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699142400000",
    "number": "1336714435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14543 FRIAR STREET SUITE 299",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14543 FRIAR STREET SUITE 299",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91411",
            "telephone_number": "904-990-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ANI HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A",
        "authorized_official_last_name": "VARDAZARYAN",
        "authorized_official_first_name": "SERYOZHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-990-0099"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sang 1 Inc
• Emalyn Bernabe Sanga-Forbes, DDS
• Aanya Virendra Sanghvi, DMD
• Andre Sanii, M.D.
• Dale Santa Ana, PT
• Santa Rita Hospice Inc
• Heather Santana
• Ivone Santana
• Marline N Santana
• James Tyler Santander, HS

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2023; 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.