Palm Springs Villa, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PALM SPRINGS VILLA, INC.

Practice address

68580 Tortuga Rd
Cathedral City, CA 92234-3875

Phone

(760) 515-7779

Fax

(760) 841-0982

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Levon Akhsharumov

Title

Ceo

Phone

(760) 515-7779

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1629405220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68580 TORTUGA RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343875",
            "telephone_number": "760-515-7779",
            "fax_number": "760-841-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68580 TORTUGA RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343875",
            "telephone_number": "760-515-7779",
            "fax_number": "760-841-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM SPRINGS VILLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "AKHSHARUMOV",
        "authorized_official_first_name": "LEVON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-515-7779"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grisha Roland Ovanesian, DDS
• P Putrasahan DDS Inc
• Vivien Pacold, M.D.
• Arlene Padilla
• Palm Springs Rehab LLC
• Palm Valley Behavioral Health I, LLC
• Palm Valley Behavioral Health II, LLC
• Jooyoel Park
• Tashanika Nicole Parrish
• Ashish Virendra Patel, PHARMD

• Skilled Nursing Facility in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.