Villa California Management LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

VILLA CALIFORNIA MANAGEMENT LLC

Doing business as

California Green Tree Villa

Practice address

6728 Sepulveda Blvd
Van Nuys, CA 91411-1248

Phone

(818) 781-6348

NPI assigned

Oct 4, 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

Other names 1

• California Green Tree Villa Doing business as

Locations

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1841765906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6728 SEPULVEDA BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111248",
            "telephone_number": "818-781-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6728 SEPULVEDA BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111248",
            "telephone_number": "818-781-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA CALIFORNIA MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "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": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Green Tree Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Villago Dental Corporation
• Tricia Villagran
• Cynthia Marissa Villagrana
• Phillip Villagrana
• John Sal Villalobos

• Assisted Living Facility (Mental Illness) in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Assisted Living Facility (Mental Illness) in California

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