Active NPI
Ami/Hti Tarzana Encino Joint Venture
- General Acute Care Hospital
- Tarzana, CA
National Provider Identifier
1366475873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 930000097
- Legal business name
- AMI/HTI TARZANA ENCINO JOINT VENTURE
- Practice address
- 18321 Clark St
Tarzana, CA 91356-3501 - Phone
- (818) 881-0800
- Fax
- (818) 708-5382
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas E. Rabe
- Title
- VP of Taxation, Tenet Healthcare
- Phone
- (469) 893-2530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 930000097 | CA | Primary |
Addresses
Primary practice location
18321 Clark St
Tarzana, CA 91356-3501
Mailing address
PO Box 31001-0152
Pasadena, CA 91110-0001
Phone (626) 300-4122
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050601B000000 | Other | SECTION 1011 | |
| ZZZA1915Z | Other | BS OF CALIFORNIA | |
| HSC31408I | Medicaid | CA | |
| HSP31408I | Medicaid | CA |
Other names 1
- Encino-Tarzana Regional Medical Ctr-Tarzana
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1366475873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001-0152",
"city": "PASADENA",
"state": "CA",
"postal_code": "911100001",
"telephone_number": "626-300-4122",
"fax_number": "818-907-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18321 CLARK ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563501",
"telephone_number": "818-881-0800",
"fax_number": "818-708-5382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMI/HTI TARZANA ENCINO JOINT VENTURE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "RABE",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "VP OF TAXATION, TENET HEALTHCARE",
"authorized_official_telephone_number": "469-893-2530",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "930000097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECTION 1011",
"identifier": "050601B000000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF CALIFORNIA",
"identifier": "ZZZA1915Z",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSC31408I",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP31408I",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Encino-Tarzana Regional Medical Ctr-Tarzana",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.