Pala Alta Holding Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PALA ALTA HOLDING INC.

Practice address

1790 N Fair Oaks Ave
Pasadena, CA 91103-1617

Phone

(626) 798-6986

Fax

(626) 798-5970

NPI assigned

Nov 4, 2021

Organization subpart

No

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

Authorized official

Name

Vladimir Chertok Chertok

Title

Ceo

Phone

(818) 422-2233

Specialties & licenses 1

Addresses

Other names 1

• Pasa Alta Doing business as

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1750046785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 WOODWARDIA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772124",
            "telephone_number": "818-422-2233",
            "fax_number": "626-798-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031617",
            "telephone_number": "626-798-6986",
            "fax_number": "626-798-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALA ALTA HOLDING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "CHERTOK",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_middle_name": "CHERTOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-422-2233"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasa Alta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quint Paige, LMFT
• Mya T Painter, MFT
• Richard Painter, M.S., LMFT
• Iris Paiso, DDS
• Jenny H. Pak, PH.D.
• Michelle Palacios Orgas
• Nicole Diane Palacios Pritchard, DMD
• Carlos Palacios
• Franco A Palacios
• Ja'Nean Marie Alyce Palacios

• Adult Care Home Facility in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.