Active NPI
Yelena Aladadyan
- Assisted Living Facility
- Northridge, CA
National Provider Identifier
1346887791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 197609860
- Practice address
- 16938 Citronia St
Northridge, CA 91343-1740 - Phone
- (818) 853-4495
- NPI assigned
- Dec 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 197609860 | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
16938 Citronia St
Northridge, CA 91343-1740
Mailing address
16938 Citronia St
Northridge, CA 91343-1740
Phone (818) 853-4495
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197609860 | Other | CA | DSS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2020.
{
"created_epoch": "1575417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1346887791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16938 CITRONIA ST",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913431740",
"telephone_number": "818-853-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16938 CITRONIA ST",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913431740",
"telephone_number": "818-853-4495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALADADYAN",
"first_name": "YELENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-04",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": "197609860",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSS",
"identifier": "197609860",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.