Organization Active NPI

Palmdale Paradise Board & Care Inc

  • Assisted Living Facility
  • Palmdale, CA
National Provider Identifier
1386457208
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PALMDALE PARADISE BOARD & CARE INC
Practice address
40117 25TH St W
Palmdale, CA 93551-3428
Phone
(626) 310-3333
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Sona Galstyan
Title
Ceo
Phone
(626) 310-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

40117 25TH St W
Palmdale, CA 93551-3428

Mailing address

40117 25TH St W
Palmdale, CA 93551-3428
Phone (626) 310-3333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1386457208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40117 25TH ST W",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513428",
            "telephone_number": "626-310-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40117 25TH ST W",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513428",
            "telephone_number": "626-310-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMDALE PARADISE BOARD & CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "GALSTYAN",
        "authorized_official_first_name": "SONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-310-3333"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.