Organization Active NPI

Oakridge Inn Rcfe LLC.

  • Ambulatory Family Planning Facility
  • Glendale, CA
National Provider Identifier
1699156331
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
OAKRIDGE INN RCFE LLC.
Practice address
1281 Oakridge Dr
Glendale, CA 91205-3412
Phone
(818) 482-9117
NPI assigned
Jun 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Khachik Petrosyan
Title
Owner
Phone
(818) 482-9117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X Primary

Addresses

Primary practice location

1281 Oakridge Dr
Glendale, CA 91205-3412

Mailing address

1281 Oakridge Dr
Glendale, CA 91205-3412

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1699156331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 OAKRIDGE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 OAKRIDGE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053412",
            "telephone_number": "818-482-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKRIDGE INN RCFE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "KHACHIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-482-9117"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.