Potter Care LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

POTTER CARE LLC

Practice address

2041 Potter Ave
Simi Valley, CA 93065-2442

Phone

(818) 304-4582

NPI assigned

Aug 28, 2015

Organization subpart

No

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

Authorized official

Name

Samvel Gyurdzhyan

Title

Ceo

Phone

(323) 573-4582

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1619344488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 POTTER AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 POTTER AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652442",
            "telephone_number": "818-304-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "GYURDZHYAN",
        "authorized_official_first_name": "SAMVEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-573-4582"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Porras
• Elena Marie Porter, D.C.
• Breanna Marie Posadas
• Claudia I Posso, D.D.S.
• Edward Posvar, M.D.
• Christine Pourandrias, PSY.D.
• Daniel Craig Powell, MFT, BCBA
• Precise Neuro Management Service, Inc
• Prefered Health Services
• Preferred Hospice and Palliative Care, Inc.

• Nursing Facility/Intermediate Care Facility in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.