SH Northridge Ca Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SH NORTHRIDGE CA OPCO LLC

Doing business as

Brookdale Northridge

Practice address

17650 Devonshire St
Northridge, CA 91325-1445

Phone

(818) 886-1616

NPI assigned

Dec 19, 2019

Last updated

Jul 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joanne K Leskowicz

Title

Assistant Corporate Secretary

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Northridge Doing business as

Locations

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1740828870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MAIN ST STE 1200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926147230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17650 DEVONSHIRE ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251445",
            "telephone_number": "818-886-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH NORTHRIDGE CA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "LESKOWICZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ASSISTANT CORPORATE SECRETARY",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Northridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karine Setyan
• Tonya Jenkins Sevilla, CCC-SLP
• Patricia Jean Seymour, PH.D., SLP
• Aral M Sezginis, MD
• SFV LLC (BrightStar Care of NW San Fernando Valley)
• Michael Shabtai, M.D.
• Shaer Dental Corporation (Smile Boutique - Northridge)
• Dan Shaer, M.P.H., D.D.S.
• Shazia Shah-Allibhoy, LMFT, NCSP, CAMS
• Dhwani Shah, PHARM.D

• Skilled Nursing Facility in Northridge, CA
• Providers in Northridge, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.