Sepulveda Rehabilitation Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

7196 Issued in CA

Legal business name

SEPULVEDA REHABILITATION CENTER

Practice address

7633 Van Nuys Blvd
Van Nuys, CA 91405-1359

Phone

(818) 901-8091

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mark Samuel

Title

Executive Director

Phone

(818) 901-8091

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vanita Burton

  • Addiction (Substance Use Disorder) Counselor
  • Van Nuys, CA
  • NPI 1548440282
  NPD (past)
• Orlando Chavez

  • Addiction (Substance Use Disorder) Counselor
  • Van Nuys, CA
  • NPI 1851511943
  NPD (past)
• Luis Guerrero

  • Addiction (Substance Use Disorder) Counselor
  • Van Nuys, CA
  • NPI 1942420039
  NPD (past)
• Jorge Solorio

  • Case Manager/Care Coordinator
  • Van Nuys, CA
  • NPI 1033400130
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598989287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051359",
            "telephone_number": "818-901-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051359",
            "telephone_number": "818-901-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPULVEDA REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-901-8091"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "7196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "7196",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senior Palliative Care
• Senior Safe Hospice Inc
• Seong Gon Bae MD Inc
• Tannaz Separzadeh, LMFT
• Sepulveda Optimal Health Care Inc
• Blanca Isela Sepulveda, M.S.
• Sera Healthcare
• Serani Homehealth
• Serani Hospice
• Serendib Healthways, Inc

• Community/Behavioral Health Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.