El Sereno Manor, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EL SERENO MANOR, INC

Practice address

12260 Foothill Blvd
Sylmar, CA 91342

Phone

(818) 899-9545

Fax

(818) 385-3275

NPI assigned

Aug 3, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Naseer Chohan

Title

Director of Reimbursement

Phone

(818) 385-3235

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAN FERNANDO POST ACUTE HOSPITAL Doing business as

Tax ID family

El Sereno Manor Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Philmar Care, LLC

  • Skilled Nursing Facility
  • Sylmar, CA
  • NPI 1942488671
  NPD tax ID

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1659627065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13347 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234267",
            "telephone_number": "818-385-3200",
            "fax_number": "818-385-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12260 FOOTHILL BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342",
            "telephone_number": "818-899-9545",
            "fax_number": "818-385-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SERENO MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "CHOHAN",
        "authorized_official_first_name": "NASEER",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "818-385-3235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18104H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN FERNANDO POST ACUTE HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Marie Duvernay
• Sarah Jane Aganan Dy, ACNP
• Maricela Echeverri
• Edna Ma MD Inc
• Berteil Eishoei
• Israel Emmanuel El'Shaddai
• Elixir RX Inc
• Elixir RX Inc
• Elias Ellis
• Andrea Elser

• Skilled Nursing Facility in Sylmar, CA
• Providers in Sylmar, 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 Aug 3, 2012; 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.