Organization Active NPI

Tarzana Recovery Center, Inc,

  • Substance Abuse Rehabilitation Facility
  • Tarzana, CA
National Provider Identifier
1508443854
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TARZANA RECOVERY CENTER, INC,
Practice address
5371 Vanalden Ave
Tarzana, CA 91356-3106
Phone
(818) 524-8605
NPI assigned
Mar 24, 2021
Last updated
Mar 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Narek Oganyan
Title
Ceo
Phone
(818) 524-8605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

5371 Vanalden Ave
Tarzana, CA 91356-3106

Mailing address

5371 Vanalden Ave
Tarzana, CA 91356-3106

Other identifiers 1

IdentifierTypeStateIssuer
191080APOtherCADHCS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tarzanarecoverycenter.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1508443854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5371 VANALDEN AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5371 VANALDEN AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563106",
            "telephone_number": "818-524-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARZANA RECOVERY CENTER, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "OGANYAN",
        "authorized_official_first_name": "NAREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-524-8605"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "191080AP",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tarzanarecoverycenter.com",
            "affiliation": "N",
            "address_1": "5371 Vanalden Ave",
            "city": "Tarzana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913563106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.