NPIMap

Organization Active NPI

Ami/Hti Tarzana Encino Joint Venture

  • General Acute Care Hospital
  • Encino, CA
National Provider Identifier
1790712131
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
930000051 Issued in CA
Legal business name
AMI/HTI TARZANA ENCINO JOINT VENTURE
Practice address
16237 Ventura Blvd
Encino, CA 91436-2201
Phone
(818) 881-0800
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Douglas E. Rabe
Title
VP of Taxation, Tenet Healthcare
Phone
(469) 893-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 930000051 CA Primary

Addresses

Primary practice location

16237 Ventura Blvd
Encino, CA 91436-2201

Mailing address

PO Box 31001-0152
Pasadena, CA 91110-1526
Phone (626) 300-4122

Other identifiers 5

IdentifierTypeStateIssuer
ZZZA1953ZOtherBS OF CALIFORNIA
050158B000000OtherSECTION 1011
HSC31408IMedicaidCA
HSP40158LMedicaidCA
HSP30158LMedicaidCA

Other names 1

  • Encino-Tarzana Regional Medical Ctr-Encino Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prime Healthcare Services Encino LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790712131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-0152",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911101526",
            "telephone_number": "626-300-4122",
            "fax_number": "818-907-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16237 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362201",
            "telephone_number": "818-881-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMI/HTI TARZANA ENCINO JOINT VENTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RABE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VP OF TAXATION, TENET HEALTHCARE",
        "authorized_official_telephone_number": "469-893-2530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "930000051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF CALIFORNIA",
            "identifier": "ZZZA1953Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011",
            "identifier": "050158B000000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC31408I",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40158L",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30158L",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encino-Tarzana Regional Medical Ctr-Encino",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.