Wilshire Vista Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WILSHIRE VISTA MANOR

Practice address

1015 S Orange Grove Ave
Los Angeles, CA 90019-6510

Phone

(323) 933-8271

Fax

(323) 933-8273

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Simin Tehrani, RN

Title

Administrator

Phone

(323) 933-8271

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427253319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S ORANGE GROVE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196510",
            "telephone_number": "323-933-8271",
            "fax_number": "323-933-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S ORANGE GROVE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196510",
            "telephone_number": "323-933-8271",
            "fax_number": "323-933-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE VISTA MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEHRANI",
        "authorized_official_first_name": "SIMIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-933-8271",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilshire Radiology MRI Inc
• Wilshire Sleep Treatment Center, LLC
• Wilshire Treatment Center, Inc
• Wilshire Treatment Center, Inc.
• Wilshire Valley Therapy Center
• Wilshire Wellness Center
• Wilshire Wellness, Inc
• Wilshire West Dental GRP.
• Wilshire Westgate Dental, Inc.
• Wilshire Westgate Pharmacy

• Assisted Living Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Assisted Living Facility in California

• 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.