Organization Active NPI

Rotacare of Greater Los Angeles

  • Voluntary or Charitable Agency
  • Woodland Hills, CA
National Provider Identifier
1588020648
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
ROTACARE OF GREATER LOS ANGELES
Practice address
6355 Topanga Canyon Blvd
Suite 428
Woodland Hills, CA 91367-2102
Phone
(877) 829-5500
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Mina Mortezai, D.O.
Title
Board Member
Phone
(818) 592-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

6355 Topanga Canyon Blvd
Suite 428
Woodland Hills, CA 91367-2102

Mailing address

6355 Topanga Canyon Blvd
Suite 428
Woodland Hills, CA 91367-2102
Phone (877) 829-5500

National Provider Directory

National Provider Directory

Locations

6355 Topanga Canyon Blvd
Ste 428
Woodland Hills, CA 91367
Phone (877) 829-5500

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1588020648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 TOPANGA CANYON BLVD",
            "address_2": "SUITE 428",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672102",
            "telephone_number": "877-829-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 TOPANGA CANYON BLVD",
            "address_2": "SUITE 428",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672102",
            "telephone_number": "877-829-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTACARE OF GREATER LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "MORTEZAI",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "818-592-0055",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.