NPIMap

Organization Active NPI

American Health Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1891865069
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
19 143 Issued in CA
Legal business name
AMERICAN HEALTH SERVICES LLC
Practice address
6265 Sepulveda Blvd Ste 9
Van Nuys, CA 91411-1126
Phone
(818) 779-0555
Fax
(818) 779-0455
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Ms. Seanjay R Sharma
Title
C E O
Phone
(661) 254-6630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 19 143 CA Primary

Addresses

Primary practice location

6265 Sepulveda Blvd Ste 9
Van Nuys, CA 91411-1126

Mailing address

PO Box 801809
Valencia, CA 91380-1809
Phone (661) 254-6630

Other identifiers 3

IdentifierTypeStateIssuer
19-143MedicaidCA
1990MedicaidCA
HDC70057FMedicaidCA

Other names 1

  • Van Nuys Medical and Mental Health Serivces Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Opioid treatment program
Medicare-enrolled since Jan 27, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200418000109 CA Part B Supplier - Opioid Treatment Program (Otp) 4284777095 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bakersfield, CA; Venice, CA; Van Nuys, CA; Hawaiian Gardens, CA; Palmdale, CA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
American Health Services LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1891865069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801809",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913801809",
            "telephone_number": "661-254-6630",
            "fax_number": "661-254-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 SEPULVEDA BLVD STE 9",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111126",
            "telephone_number": "818-779-0555",
            "fax_number": "818-779-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SEANJAY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "C E O",
        "authorized_official_telephone_number": "661-254-6630",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "19 143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19-143",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1990",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HDC70057F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Nuys Medical and Mental Health Serivces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.