Organization Active NPI

Granada Residence

  • Assisted Living Facility
  • Granada Hills, CA
National Provider Identifier
1578444592
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GRANADA RESIDENCE
Practice address
12110 Gothic Ave
Granada Hills, CA 91344-2817
Phone
(310) 684-2369
NPI assigned
Sep 8, 2025
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Byuzand Berberyan
Title
Ceo
Phone
(310) 684-2369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

12110 Gothic Ave
Granada Hills, CA 91344-2817

Mailing address

12110 Gothic Ave
Granada Hills, CA 91344-2817
Phone (310) 684-2369

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1578444592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 GOTHIC AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442817",
            "telephone_number": "310-684-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 GOTHIC AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442817",
            "telephone_number": "310-684-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANADA RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "BERBERYAN",
        "authorized_official_first_name": "BYUZAND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-684-2369"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.