Organization Active NPI

Vantaggio Corp

  • Rehabilitation Clinic/Center
  • North Hollywood, CA
National Provider Identifier
1992249817
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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

Updated by the provider on Dec 12, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.