Organization Active NPI

Anna Gold Co., Inc.

  • Adult Day Care Clinic/Center
  • Simi Valley, CA
National Provider Identifier
1407076276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ANNA GOLD CO., INC.
Doing business as
Millennium Care
Practice address
2150 Winifred St
Simi Valley, CA 93063-2934
Phone
(805) 583-0859
Fax
(805) 583-8957
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Andrei Nikiforov
Title
President
Phone
(805) 583-0859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

2150 Winifred St
Simi Valley, CA 93063-2934

Mailing address

2150 Winifred St
Simi Valley, CA 93063-2934
Phone (805) 583-0859

Other identifiers 1

IdentifierTypeStateIssuer
ADU70336FMedicaidCA

Other names 1

  • Millennium Care Doing business as

National Provider Directory

National Provider Directory

Locations

2150 Winifred St
Simi Valley, CA 93063
Phone (805) 583-0859

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407076276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 WINIFRED ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632934",
            "telephone_number": "805-583-0859",
            "fax_number": "805-583-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 WINIFRED ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632934",
            "telephone_number": "805-583-0859",
            "fax_number": "805-583-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA GOLD CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIKIFOROV",
        "authorized_official_first_name": "ANDREI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-583-0859",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70336F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.