Organization Active NPI

Radwood Rehab Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1902692767
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RADWOOD REHAB CENTER LLC
Practice address
14144 Ventura Blvd
Sherman Oaks, CA 91423-2739
Phone
(818) 635-7098
Fax
(818) 635-7098
NPI assigned
Apr 17, 2025
Organization subpart
Yes
Parent organization
RADWOOD REHAB CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Akop Rehab Center Kesablyan
Title
Owner
Phone
(818) 635-7098

Specialties & licenses 1

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

Addresses

Primary practice location

14144 Ventura Blvd
Sherman Oaks, CA 91423-2739

Mailing address

14144 Ventura Blvd Ste 280
Sherman Oaks, CA 91423-2769
Phone (818) 635-7098

Other names 1

  • Radwood Rehab Center LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Radwood Rehab Center LLC2 organizations share this tax ID, including this one
Part of
Radwood Rehab Center LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14144 Ventura Blvd
Sherman Oaks, CA 91423
Phone (818) 635-7098

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1902692767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14144 VENTURA BLVD STE 280",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232769",
            "telephone_number": "818-635-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14144 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232739",
            "telephone_number": "818-635-7098",
            "fax_number": "818-635-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADWOOD REHAB CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADWOOD REHAB CENTER LLC",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "KESABLYAN",
        "authorized_official_first_name": "AKOP",
        "authorized_official_middle_name": "REHAB CENTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-635-7098"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radwood Rehab Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Radwood Rehab Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.