Organization Active NPI

Parkwest Healthcare Center LLC

  • Skilled Nursing Facility
  • Reseda, CA
National Provider Identifier
1376119818
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jun 3, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LTC55716FMedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.