Notellage Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

970000044 Issued in CA

Legal business name

NOTELLAGE CORPORATION

Doing business as

College Vista Convalescent Hospital

Practice address

4681 Eagle Rock Blvd
Los Angeles, CA 90041

Phone

(323) 257-8151

Fax

(323) 257-2187

NPI assigned

Oct 13, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Jeanne Nelson

Title

A/R Manager

Phone

(714) 577-3880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• College Vista Convalescent Hospital Doing business as

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1679562557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SATURN STREET",
            "address_2": "STE 201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-577-3880",
            "fax_number": "714-577-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4681 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90041",
            "telephone_number": "323-257-8151",
            "fax_number": "323-257-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOTELLAGE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "A/R MANAGER",
        "authorized_official_telephone_number": "714-577-3880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZ0T5538H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Vista Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Nosrati
• Saeid Nosrati, M.D.
• Faranak Daravi Nosratian, DDS
• Vladimir Nossov, M.D.
• Le Tran Notarfrancesco, MD
• Natalie Frances Noto, PHARM.D.
• Notoirous Home Health Care Inc.
• Rohini Nott
• Fiona Nottingham
• Isadore Louis Nottolini, MD

• Skilled Nursing Facility in Los Angeles, CA
• Providers in Los Angeles, 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 Oct 12, 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.