Yello Jacket, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

YELLO JACKET, INC.

Doing business as

Elizabeth Cottage

Practice address

15739 San Jose St
Granada Hills, CA 91344-7238

Phone

(818) 892-6520

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Pamela Black

Title

Administrator

Phone

(818) 271-8297

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Cottage Doing business as

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1356511836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15739 SAN JOSE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447238",
            "telephone_number": "818-892-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15739 SAN JOSE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447238",
            "telephone_number": "818-892-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLO JACKET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-271-8297"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Cottage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debora Ynez Wright, RT
• Gloria Writer, PT
• Anita Wu
• Jiamin Xu, DDS
• Richard Tsang Rong Yeh, D.D.S.
• Da Yung Lisa Yeo, DDS
• Albert Michael Young, PT, DPT
• Youthe Light the Music Pathways Environments for Energetic Healing LLC
• Karla Zambrano-Morrison, LMFT
• Maria Zavala

• Assisted Living Facility in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.