Aspen Villa

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ASPEN VILLA

Doing business as

Aspen Villa

Practice address

25411 Champlain Rd
Laguna Hills, CA 92653-5441

Phone

(949) 648-9205

NPI assigned

Jun 6, 2023

Organization subpart

No

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

Authorized official

Name

Maryam AlamoutiniaNPI 1194068304

Title

Administrator

Phone

(949) 648-9205

Specialties & licenses 1

Addresses

Other names 1

• Aspen Villa Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryam Alamoutinia, N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • Newport Beach, CA
  • NPI 1194068304
  NPD Authorized official

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1730873514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25411 CHAMPLAIN RD",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535441",
            "telephone_number": "949-648-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25411 CHAMPLAIN RD",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535441",
            "telephone_number": "949-648-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "ALAMOUTINIA",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-648-9205"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valdemar Ascencio, M.D.
• Miriam Shabina Asgar, M.A.
• Lori J. Ash, LCSW
• Blake Andrew Ashley, M.D.
• Mozhgan Ashtari, M.D.
• Aspira Health Inc
• Maryam Assadi, D.C.
• Assured Medical Supply, Inc.
• Payam C. Ataii, D.M.D.
• Atd Ventures Inc.

• Assisted Living Facility in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.