Ventura Park Management LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197609623 Issued in CA

Legal business name

VENTURA PARK MANAGEMENT LLC

Practice address

21200 Ventura Blvd
Woodland Hills, CA 91364-2106

Phone

(818) 884-7100

NPI assigned

Apr 26, 2018

Organization subpart

No

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

Authorized official

Name

Kyle Watanabe

Title

Director

Phone

(213) 326-9208

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1801384631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13089 PEYTON DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21200 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642106",
            "telephone_number": "818-884-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA PARK MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "213-326-9208"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197609623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Venaas, RN, IBCLC
• Denise Venegas
• Fabiola Yazmin Venegas, LCSW
• Sarah Venegas
• Ventura Care, Inc.
• Ventura Specialty Dental Group
• Zenaida Vera Cruz
• Vera Mental Health & Wellness Professional Nursing Corporation
• Annette Vera
• Vanessa Vera

• Assisted Living Facility in Woodland Hills, CA
• Providers in Woodland 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 Apr 26, 2018; 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.