ENCINO-TARZANA REGIONAL MEDICAL CTR-ENCINO (AMI/HTI TARZANA ENCINO JOINT VENTURE) NPI 1003012360

Skilled Nursing Facility in Encino, CA

NPI 1003012360 Organization Skilled Nursing Facility

About ENCINO-TARZANA REGIONAL MEDICAL CTR-ENCINO (AMI/HTI TARZANA ENCINO JOINT VENTURE)

Encino-tarzana Regional Medical Ctr-encino (ami/hti Tarzana Encino Joint Venture) is a provider established in Encino, California specializing in skilled nursing facility. The NPI number of Encino-tarzana Regional Medical Ctr-encino (ami/hti Tarzana Encino Joint Venture) is 1003012360 and was assigned on June 2007. The practitioner's primary taxonomy code is 314000000X with license number 930000051 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Encino-tarzana Regional Medical Ctr-encino. The authorized official of this NPI record is Mr. Douglas E. Rabe (Vp Of Taxation, Tenet Healthcare)

NPI

1003012360

Provider NameENCINO-TARZANA REGIONAL MEDICAL CTR-ENCINO (AMI/HTI TARZANA ENCINO JOINT VENTURE)
Provider Location Address16237 VENTURA BLVD ENCINO, CA 91436
Provider Mailing AddressPO BOX 50585 LOS ANGELES, CA 90074
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameENCINO-TARZANA REGIONAL MEDICAL CTR-ENCINO
Other Name TypeDoing Business As (3)
Enumeration Date06-25-2007
Last Update Date04-28-2016


Primary Taxonomy

Taxonomy Code314000000X
ClassificationSkilled Nursing Facility
TypeNursing & Custodial Care Facilities
License No.930000051
License StateCA
Taxonomy Description(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Business Address

ENCINO-TARZANA REGIONAL MEDICAL CTR-ENCINO
16237 VENTURA BLVD
ENCINO, CA
ZIP 91436
Phone: (818) 881-0800

Get Directions


Mailing Address

ENCINO-TARZANA REGIONAL MEDICAL CTR-ENCINO
PO BOX 50585
LOS ANGELES, CA
ZIP 90074
Phone: (626) 300-4122
Fax: (818) 907-8630



Authorized Official

Authorized Official NameMR. DOUGLAS E. RABE
Authorized Official TitleVP OF TAXATION, TENET HEALTHCARE
Authorized Official Phone(469) 893-2466

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
55-5380MEDICARE ID-TYPE UNSPECIFIED (04)

Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235196288 ERIC S CARLISLE MD
Individual
Emergency Medicine16237 VENTURA BLVD
ENCINO, CA 91436
(818) 995-5350
1104874478 JOSEPH THOMAS NITTI MD
Individual
Anesthesiology16237 VENTURA BLVD
ENCINO, CA 91436
(310) 440-3131
1730121708DR. HOUTAN SABAHI M.D.
Individual
Emergency Medicine16237 VENTURA BLVD
ENCINO, CA 91436
(818) 995-5351
1912949884 JAMES W. ALLEN M.D.
Individual
Emergency Medicine16237 VENTURA BLVD
ENCINO, CA 91436
(818) 995-5351
1124062773DR. VICTOR MANUEL LOPEZ-CUENCA M.D.
Individual
Emergency Medicine16237 VENTURA BLVD
ENCINO, CA 91436
(818) 995-5351
1811931496DR. JOHN CHRISTOPHER SUNG M.D.
Individual
Emergency Medicine16237 VENTURA BLVD
ENCINO, CA 91436
(818) 995-5350
1336183987 TAMAR SAUER M.D.
Individual
Emergency Medicine16237 VENTURA BLVD
ENCINO, CA 91436
(818) 995-5351
1457395675DR. RAYMUNDO G PARAS JR. M.D.
Individual
Emergency Medicine16237 VENTURA BLVD
ENCINO, CA 91436
(818) 995-5350
1790712131AMI/HTI TARZANA ENCINO JOINT VENTURE
Organization
General Acute Care Hospital16237 VENTURA BLVD
ENCINO, CA 91436
(818) 881-0800
1942384250MS. STUART E. ACKERMAN M.D.
Individual
Anesthesiology16237 VENTURA BLVD
ENCINO, CA 91436
(818) 995-5281
1699844639DR. AMANDA DANIELLE SMITH PSY.D.
Individual
Psychologist (Clinical)16237 VENTURA BLVD
ENCINO, CA 91436
(818) 995-5000
1659429652AMI/HTI TARZANA ENCINO JOINT VENTURE
Organization
Psychiatric Unit16237 VENTURA BLVD
ENCINO, CA 91436
(818) 881-0800
1164570164AMI/HTI TARZANA ENCINO JOINT VENTURE
Organization
Rehabilitation Unit16237 VENTURA BLVD
ENCINO, CA 91436
(818) 881-0800
1326243015MAHYAR GANJIANPOUR DO A PROFESSIONAL CORPORATION
Organization
Anesthesiology (Pain Medicine)16237 VENTURA BLVD
ENCINO, CA 91436
(949) 588-2190
1750537494ENCINO HOSPITAL RADIOLOGY MEDICAL GROUP INC
Organization
Radiology (Diagnostic Radiology)16237 VENTURA BLVD
ENCINO, CA 91436
(866) 752-7080
1457600488PACIFICA EMERGENCY MEDICAL ASSOCIATES, INC.
Organization
Emergency Medicine16237 VENTURA BLVD
ENCINO, CA 91436
(818) 995-5351
1629242201PRIME HEALTHCARE SERVICES ENCINO LLC
Organization
Psychiatric Unit16237 VENTURA BLVD
ENCINO, CA 91436
(818) 995-5000
1780030189JOSHUA DIAMOND MD, INC.
Organization
Internal Medicine16237 VENTURA BLVD
ENCINO, CA 91436
(818) 995-5000
1841619244DR. MARK BOYAJIAN MD
Individual
Anesthesiology16237 VENTURA BLVD
ENCINO, CA 91436
(818) 854-2299

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.