Active NPI
Royal Oak Residence Inc.
- Skilled Nursing Facility
- Tujunga, CA
National Provider Identifier
1922404870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ROYAL OAK RESIDENCE INC.
- Practice address
- 10458 Plainview Ave
Tujunga, CA 91042-1716 - Phone
- (877) 250-2404
- Fax
- (877) 458-5586
- NPI assigned
- Nov 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Zarui Khachatryan
- Title
- Ceo
- Phone
- (877) 250-2404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
10458 Plainview Ave
Tujunga, CA 91042-1716
Mailing address
10458 Plainview Ave
Tujunga, CA 91042-1716
Phone (877) 250-2404
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2160463 | Royal Oak Residence, Inc | Certificate of waiver | Jan 10, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493683200000",
"number": "1922404870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10458 PLAINVIEW AVE",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910421716",
"telephone_number": "877-250-2404",
"fax_number": "877-458-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10458 PLAINVIEW AVE",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910421716",
"telephone_number": "877-250-2404",
"fax_number": "877-458-5586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL OAK RESIDENCE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-04",
"last_updated": "2017-05-02",
"status": "A",
"authorized_official_last_name": "KHACHATRYAN",
"authorized_official_first_name": "ZARUI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "877-250-2404",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tujunga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.