Organization Active NPI

Los Angeles Care Center, Inc.

  • Skilled Nursing Facility
  • Van Nuys, CA
National Provider Identifier
1730694084
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LOS ANGELES CARE CENTER, INC.
Practice address
6854 Tyrone Ave
Van Nuys, CA 91405-4045
Phone
(747) 777-9584
NPI assigned
Dec 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Ella Undzhyan
Title
Ceo
Phone
(747) 777-9584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6854 Tyrone Ave
Van Nuys, CA 91405-4045

Mailing address

6854 Tyrone Ave
Van Nuys, CA 91405-4045

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2171979Los Angeles Care Inc6854 Tyrone Avenue, Van Nuys, CA 91405Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1730694084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6854 TYRONE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6854 TYRONE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054045",
            "telephone_number": "747-777-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "UNDZHYAN",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-777-9584"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.