Organization Active NPI

Pacific Health Care,Inc.

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1669619524
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PACIFIC HEALTH CARE,INC.
Practice address
5924 E Los Angeles Ave Ste Q
Simi Valley, CA 93063-5526
Phone
(805) 522-0212
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Robert Grigorian
Title
Ceo/President
Phone
(818) 633-1374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5924 E Los Angeles Ave Ste Q
Simi Valley, CA 93063-5526

Mailing address

7121 Nagle Ave
North Hollywood, CA 91605-4410

National Provider Directory

National Provider Directory

Locations

5924 E Los Angeles Ave
Ste Q
Simi Valley, CA 93063
Phone (805) 522-0212

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1669619524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 NAGLE AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916054410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 E LOS ANGELES AVE STE Q",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635526",
            "telephone_number": "805-522-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEALTH CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "GRIGORIAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-633-1374"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.