Organization Active NPI

Pacific Senior Care

  • Assisted Living Facility
  • Lake Balboa, CA
National Provider Identifier
1689414443
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PACIFIC SENIOR CARE
Practice address
7731 Aldea Ave
Lake Balboa, CA 91406-2108
Phone
(818) 516-8819
NPI assigned
May 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Mrs. Viktorya Hayrapetyan
Title
Ceo
Phone
(818) 516-8819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7731 Aldea Ave
Lake Balboa, CA 91406-2108

Mailing address

7731 Aldea Ave
Lake Balboa, CA 91406-2108
Phone (818) 516-8819

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1689414443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7731 ALDEA AVE",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914062108",
            "telephone_number": "818-516-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7731 ALDEA AVE",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914062108",
            "telephone_number": "818-516-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "HAYRAPETYAN",
        "authorized_official_first_name": "VIKTORYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-516-8819",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Balboa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.