GHC of Lakeview Terrace, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

920000045 Issued in CA

Legal business name

GHC OF LAKEVIEW TERRACE, LLC

Practice address

9601 Foothill Blvd
Sylmar, CA 91342-7006

Phone

(818) 896-7452

Fax

(818) 897-4211

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Lois Mastrocola

Title

Chief Financial Officer

Phone

(714) 241-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeview Terrace Special Care Center Doing business as

Locations

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1871597252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 FOOTHILL BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427006",
            "telephone_number": "818-896-7452",
            "fax_number": "818-897-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 FOOTHILL BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427006",
            "telephone_number": "818-896-7452",
            "fax_number": "818-897-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC OF LAKEVIEW TERRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "MASTROCOLA",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-241-5600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18172G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Terrace Special Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Anne Geronimo, NP-C
• Davit Gevorgyan
• Arlin Ghazarian, FNP
• Nelli Ghazaryan, DO, MPH
• Manzer H Ghaznavi, MD
• Katayoun Ghods, PHARMD
• Lillian Mary Ghosh, NP
• Melinda Aileen Gibbons, MD
• Annie Gibson, CCDC
• Charity Gikura, MD

• 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 Apr 13, 2012; 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.