Journey Hillside Tarzana, LLC

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

Legal business name

JOURNEY HILLSIDE TARZANA, LLC

Practice address

4706 Viviana Dr
Tarzana, CA 91356-5039

Phone

(818) 996-6005

NPI assigned

Jan 25, 2019

Organization subpart

No

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

Authorized official

Name

Assad Ullah Kakar

Title

Cfo

Phone

(818) 517-5103

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1831653617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 VIVIANA DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565039",
            "telephone_number": "818-996-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 VIVIANA DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565039",
            "telephone_number": "818-996-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY HILLSIDE TARZANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "KAKAR",
        "authorized_official_first_name": "ASSAD",
        "authorized_official_middle_name": "ULLAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-517-5103"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Phillips MD PC
• Bret A Jones
• Philip A Jones, PH.D.
• Suzana Jones, PH.D.
• Rodolfo A Jose II
• Vuk Jovanovic, M.D.
• Joy Hospice Inc
• Jerrick Joya, PA
• Jro Associates
• Joanna Christina Juarez

• Substance Use Disorder Rehabilitation Hospital Unit in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.