Organization Active NPI

Protocol Agency, Inc

  • Nursing Care Agency
  • Westlake Village, CA
National Provider Identifier
1669767778
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
PROTOCOL AGENCY, INC
Practice address
875 S Westlake Blvd Ste 112
Westlake Village, CA 91361-2915
Phone
(818) 878-8595
NPI assigned
Jun 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Mr. Eric Sarkisyan
Title
Cfo
Phone
(818) 878-8595

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Nursing Care Agency 251J00000X Primary
Skilled Nursing Facility 314000000X 11369 CA

Addresses

Primary practice location

875 S Westlake Blvd Ste 112
Westlake Village, CA 91361-2915

Mailing address

875 S Westlake Blvd Ste 112
Westlake Village, CA 91361-2915
Phone (818) 878-8595

National Provider Directory

National Provider Directory

Locations

27001 Agoura Rd
Ste 210
Calabasas, CA 91301
Phone (805) 371-0069

875 S Westlake Blvd
Ste 112
Westlake Village, CA 91361
Phone (818) 878-8595

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1669767778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 S WESTLAKE BLVD STE 112",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612915",
            "telephone_number": "818-878-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S WESTLAKE BLVD STE 112",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612915",
            "telephone_number": "818-878-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTOCOL AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "SARKISYAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-878-8595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "11369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.