Fenton Villa, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

550002854 Issued in CA

Legal business name

FENTON VILLA, INC.

Practice address

13863 Fenton Ave
Sylmar, CA 91342-1670

Phone

(818) 925-5959

Fax

(818) 670-7868

NPI assigned

Oct 24, 2012

Organization subpart

No

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

Authorized official

Name

Karo Manvelian

Title

Ceo

Phone

(818) 925-5959

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1750634903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 FOOTHILL BLVD",
            "address_2": "SUITE 345",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143516",
            "telephone_number": "818-925-5959",
            "fax_number": "818-670-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13863 FENTON AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421670",
            "telephone_number": "818-925-5959",
            "fax_number": "818-670-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENTON VILLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "MANVELIAN",
        "authorized_official_first_name": "KARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-925-5959"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550002854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750634903",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geraldine Mae Tiratira Feliciano
• Brianna Melissa Felix
• Christian Manuel Felix
• Jessica Felix
• Fenton Care
• Patricia Feregrino Ridenour
• Lilly Flores Fernandez, RN
• Mitchel N Fernando, MD
• Sandra Kay Fetherolf, LMFT
• Anait Fetulagian, RN

• Skilled Nursing Facility in Sylmar, CA
• Providers in Sylmar, 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 Jun 9, 2016; 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.