Organization Active NPI

Persian-American Adult Day Health Care Center, Inc.

  • Adult Day Care Clinic/Center
  • Chatsworth, CA
National Provider Identifier
1710103528
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
060000852 Issued in CA
Legal business name
PERSIAN-AMERICAN ADULT DAY HEALTH CARE CENTER, INC.
Practice address
9820 Topanga Canyon Blvd
Suite F
Chatsworth, CA 91311-4025
Phone
(818) 775-0377
Fax
(818) 775-0038
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Richmond Tomasian, MSW
Title
Owner
Phone
(818) 456-9806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 060000852 CA Primary

Addresses

Primary practice location

9820 Topanga Canyon Blvd
Suite F
Chatsworth, CA 91311-4025

Mailing address

9820 Topanga Canyon Blvd
Suite F
Chatsworth, CA 91311-4025
Phone (818) 775-0377

Other identifiers 1

IdentifierTypeStateIssuer
ADU70334FOtherCAMEDI-CAL PROVIDER NUMBER

Other names 1

  • Forever Young Adult Day Health Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

9820 Topanga Canyon Blvd
Ste F
Chatsworth, CA 91311
Phone (818) 775-0377

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1710103528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 TOPANGA CANYON BLVD",
            "address_2": "SUITE F",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114025",
            "telephone_number": "818-775-0377",
            "fax_number": "818-775-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 TOPANGA CANYON BLVD",
            "address_2": "SUITE F",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114025",
            "telephone_number": "818-775-0377",
            "fax_number": "818-775-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSIAN-AMERICAN ADULT DAY HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "TOMASIAN",
        "authorized_official_first_name": "RICHMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-456-9806",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "ADU70334F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Young Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.