Active NPI
Parkwest Healthcare Center LLC
- Skilled Nursing Facility
- Reseda, CA
National Provider Identifier
1376119818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PARKWEST HEALTHCARE CENTER LLC
- Practice address
- 6740 Wilbur Ave
Reseda, CA 91335-5179 - Phone
- (323) 937-6080
- NPI assigned
- Jun 3, 2021
- 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
- Dana Lance
- Title
- Manager
- Phone
- (323) 937-6080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
6740 Wilbur Ave
Reseda, CA 91335-5179
Mailing address
8484 Wilshire Blvd Ste 215
Beverly Hills, CA 90211-3245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55716F | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
8484 Wilshire Blvd
Ste 215
Beverly Hills, CA 90211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622678400000",
"number": "1376119818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8484 WILSHIRE BLVD STE 215",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6740 WILBUR AVE",
"city": "RESEDA",
"state": "CA",
"postal_code": "913355179",
"telephone_number": "323-937-6080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKWEST HEALTHCARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A",
"authorized_official_last_name": "LANCE",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "323-937-6080"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55716F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.