NPIMap

Organization Active NPI

Providence Tarzana Health Center

  • General Acute Care Hospital
  • Reseda, CA
National Provider Identifier
1558513739
Registry record updated Oct 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
481644 Issued in CA
Legal business name
PROVIDENCE TARZANA HEALTH CENTER
Practice address
6515 Amigo Ave
Reseda, CA 91335-6003
Phone
(818) 705-3957
NPI assigned
Oct 19, 2008
Last updated
Oct 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2008

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

Authorized official

Name
Fern EpsteinNPI 1851544241
Title
Rnfa
Phone
(818) 705-3957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 481644 CA Primary

Addresses

Primary practice location

6515 Amigo Ave
Reseda, CA 91335-6003

Mailing address

6515 Amigo Ave
Reseda, CA 91335-6003
Phone (818) 705-3957

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224374400000",
    "number": "1558513739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 AMIGO AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356003",
            "telephone_number": "818-705-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 AMIGO AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356003",
            "telephone_number": "818-705-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE TARZANA HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-19",
        "last_updated": "2008-10-19",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "FERN",
        "authorized_official_title_or_position": "RNFA",
        "authorized_official_telephone_number": "818-705-3957"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "481644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2008; 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.