Active NPI
Devank LLC
- Assisted Living Facility
- Anaheim, CA
National Provider Identifier
1972357929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- DEVANK LLC
- Doing business as
- Golden Outlook Senior Care
- Practice address
- 2157 W la Palma Avenue
Anaheim, CA 92801 - Phone
- (562) 508-9634
- NPI assigned
- Apr 16, 2024
- Organization subpart
- Yes
- Parent organization
- 202206111274
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Devadatt M Mishal, MD
- Title
- Managing Member
- Phone
- (562) 508-9634
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2157 W la Palma Avenue
Anaheim, CA 92801
Mailing address
3728 E Woodbine Rd
Orange, CA 92867-2112
Phone (562) 508-9634
Other names 1
- Golden Outlook Senior Care
National Provider Directory
National Provider Directory- Part of
- Devank LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Downey, CA
- NPI 1285673129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713225600000",
"number": "1972357929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3728 E WOODBINE RD",
"city": "ORANGE",
"state": "CA",
"postal_code": "928672112",
"telephone_number": "562-508-9634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2157 W LA PALMA AVENUE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92801",
"telephone_number": "562-508-9634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVANK LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "202206111274",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-10",
"status": "A",
"authorized_official_last_name": "MISHAL",
"authorized_official_first_name": "DEVADATT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "562-508-9634",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Golden Outlook Senior Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.