Organization Active NPI

Mirna Villatoro

  • Mental Illness Community Based Residential Treatment Facility
  • Granada Hills, CA
National Provider Identifier
1598160129
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
HAP 351 Issued in CA
Legal business name
MIRNA VILLATORO
Practice address
15700 Minnehaha St
Granada Hills, CA 91344
Phone
(818) 388-3917
NPI assigned
Oct 24, 2014
Last updated
Oct 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Mirna G VillatoroNPI 1679860084
Title
Dental Hugienist
Phone
(818) 388-7233

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
Mental Illness Community Based Residential Treatment Facility 320800000X HAP 351 CA Primary

Addresses

Primary practice location

15700 Minnehaha St
Granada Hills, CA 91344

Mailing address

11100 Sepulveda Blvd
#232
Mission Hills, CA 91345-1131
Phone (818) 388-3917

National Provider Directory

National Provider Directory

Locations

11100 Sepulveda Blvd
#232
Mission Hills, CA 91345
Phone (818) 388-3917

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": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1598160129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 SEPULVEDA BLVD",
            "address_2": "#232",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451131",
            "telephone_number": "818-388-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 MINNEHAHA ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "818-388-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRNA VILLATORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "VILLATORO",
        "authorized_official_first_name": "MIRNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTAL HUGIENIST",
        "authorized_official_telephone_number": "818-388-7233"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "HAP 351",
            "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 Oct 24, 2014; 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.