Active NPI
New Vista Health Services, Inc
Doing business as New Vista Nursing & Rehab Center
- Skilled Nursing Facility
- Sunland, CA
National Provider Identifier
1386631885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 920000027
- Legal business name
- NEW VISTA HEALTH SERVICES, INC
- Doing business as
- New Vista Nursing & Rehab Center
- Practice address
- 8647 Fenwick St
Sunland, CA 91040-1957 - Phone
- (818) 352-1421
- Fax
- (818) 951-5842
- NPI assigned
- Sep 30, 2005
- 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
- Joel Waldman
- Title
- Executive Director
- Phone
- (818) 352-1421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 920000027 | CA | Primary |
Addresses
Primary practice location
8647 Fenwick St
Sunland, CA 91040-1957
Mailing address
8647 Fenwick St
Sunland, CA 91040-1957
Phone (818) 352-1421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT06031H | Medicaid | CA |
Other names 1
- New Vista Nursing & Rehab Center
National Provider Directory
National Provider Directory- Tax ID family
- New Vista Health Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba New Vista Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Sunland, CA
- NPI 1154669794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319673600000",
"number": "1386631885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8647 FENWICK ST",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910401957",
"telephone_number": "818-352-1421",
"fax_number": "818-951-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8647 FENWICK ST",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910401957",
"telephone_number": "818-352-1421",
"fax_number": "818-951-5842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW VISTA HEALTH SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-30",
"last_updated": "2011-10-27",
"status": "A",
"authorized_official_last_name": "WALDMAN",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "818-352-1421"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "920000027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT06031H",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New Vista Nursing & Rehab Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sunland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.