Active NPI
Vantaggio Corp
- Rehabilitation Clinic/Center
- North Hollywood, CA
National Provider Identifier
1992249817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- VANTAGGIO CORP
- Practice address
- 4418 Vineland Ave Ste 220
North Hollywood, CA 91602-2159 - Phone
- (818) 661-7955
- NPI assigned
- Dec 12, 2016
- 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
- Mr. Gennady Satanovsky
- Title
- Officer
- Phone
- (818) 661-7955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
4418 Vineland Ave Ste 220
North Hollywood, CA 91602-2159
Mailing address
4108 Tujunga Ave Apt 3
Studio City, CA 91604-3057
National Provider Directory
National Provider DirectoryLocations
4418 Vineland Ave
Ste 220
Toluca Lake, CA 91602
Phone (818) 623-8500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481500800000",
"number": "1992249817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4108 TUJUNGA AVE APT 3",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916043057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4418 VINELAND AVE STE 220",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916022159",
"telephone_number": "818-661-7955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANTAGGIO CORP",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-12",
"last_updated": "2016-12-12",
"status": "A",
"authorized_official_last_name": "SATANOVSKY",
"authorized_official_first_name": "GENNADY",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "818-661-7955",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.