Organization Active NPI

Rubins Brierwood Terrace Conv Hosp

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1922246222
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
970000019 Issued in CA
Legal business name
RUBINS BRIERWOOD TERRACE CONV HOSP
Practice address
1480 S la Cienega Blvd
Los Angeles, CA 90035-3715
Phone
(310) 652-3030
Fax
(310) 652-0329
NPI assigned
Jan 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Ms. Vicki P Rollins, RN
Title
Compliance Officer
Phone
(310) 652-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 970000019 CA Primary

Addresses

Primary practice location

1480 S la Cienega Blvd
Los Angeles, CA 90035-3715

Mailing address

1480 S la Cienega Blvd
Los Angeles, CA 90035-3715
Phone (310) 652-3030

Other identifiers 1

IdentifierTypeStateIssuer
ZZT18406GMedicaidCA

Other names 1

  • Brierwood Terrace Conv Hosp Other name

National Provider Directory

National Provider Directory

Locations

1480 S La Cienega Blvd
Los Angeles, CA 90035
Phone (310) 652-3030

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1922246222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 S LA CIENEGA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353715",
            "telephone_number": "310-652-3030",
            "fax_number": "310-652-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S LA CIENEGA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353715",
            "telephone_number": "310-652-3030",
            "fax_number": "310-652-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBINS BRIERWOOD TERRACE CONV HOSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "310-652-3030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18406G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brierwood Terrace Conv Hosp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.