Simi Valley Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

050000069 Issued in CA

Legal business name

SIMI VALLEY HEALTHCARE CENTER LLC

Practice address

513 S Myrtle Ave
Suite B
Monrovia, CA 91016-6154

Phone

(626) 658-7344

Fax

(323) 488-9274

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Crystal Solorzano

Title

Ceo

Phone

(323) 836-9397

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1912454851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 E LOS ANGELES AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930634137",
            "telephone_number": "805-522-9155",
            "fax_number": "805-581-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 S MYRTLE AVE",
            "address_2": "SUITE B",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910166154",
            "telephone_number": "626-658-7344",
            "fax_number": "323-488-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMI VALLEY HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "SOLORZANO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-836-9397"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "050000069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55701F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwyneth Simard
• Jason Trevor Simbre
• Maria Simental-Leal
• Marisela Simental
• Justine Simeu Ngandjoung
• Ashlee Simone Simmonds
• Anayah Simmons
• Brittany Simmons
• Christine Simmons
• David Simmons

• Skilled Nursing Facility in Monrovia, CA
• Providers in Monrovia, 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 Sep 8, 2016; 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.