Active NPI
Avalon Post Acute LLC
- Skilled Nursing Facility
- Los Angeles, CA
National Provider Identifier
1922411735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- AVALON POST ACUTE LLC
- Practice address
- 12029 Avalon Blvd
Los Angeles, CA 90061-2838 - Phone
- (323) 756-8191
- NPI assigned
- Jun 9, 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. Kerri Sandoval
- Title
- Admin Asst
- Phone
- (213) 389-6900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
12029 Avalon Blvd
Los Angeles, CA 90061-2838
Mailing address
4032 Wilshire Blvd
Suite 600
Los Angeles, CA 90010-3405
Phone (213) 389-6900
Other names 1
- Avalon Post Acute Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402272000000",
"number": "1922411735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4032 WILSHIRE BLVD",
"address_2": "SUITE 600",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103405",
"telephone_number": "213-389-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12029 AVALON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900612838",
"telephone_number": "323-756-8191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVALON POST ACUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A",
"authorized_official_last_name": "SANDOVAL",
"authorized_official_first_name": "KERRI",
"authorized_official_title_or_position": "ADMIN ASST",
"authorized_official_telephone_number": "213-389-6900",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avalon Post Acute Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.