NPIMap

Organization Active NPI

Penny Lane Centers

  • Community/Behavioral Health Agency
  • North Hollywood, CA
National Provider Identifier
1447597489
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PENNY LANE CENTERS
Practice address
10526 Dubnoff Way
North Hollywood, CA 91606-3921
Phone
(818) 755-4950
Fax
(818) 752-0783
NPI assigned
Jan 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Ms. Rosana La Fianza, MBA
Title
Director of Clinic Operations
Phone
(818) 892-3423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10526 Dubnoff Way
North Hollywood, CA 91606-3921

Mailing address

15305 Rayen St
North Hills, CA 91343-5117
Phone (818) 892-3423

Other names 1

  • Penny Lane Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140930000867 CA Part B Supplier - Clinic/Group Practice 8224258058 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Commerce, CA; Lancaster, CA; North Hills, CA; North Hollywood, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pennylane25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

5628 E Slauson Ave
Commerce, CA 90040
Phone (323) 318-9960

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1447597489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15305 RAYEN ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913435117",
            "telephone_number": "818-892-3423",
            "fax_number": "818-892-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10526 DUBNOFF WAY",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063921",
            "telephone_number": "818-755-4950",
            "fax_number": "818-752-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY LANE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "LA FIANZA",
        "authorized_official_first_name": "ROSANA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC OPERATIONS",
        "authorized_official_telephone_number": "818-892-3423",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penny Lane Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.