CANYON VISTA POST ACUTE LLC
NPI 1093223729
Skilled Nursing Facility in Canoga Park, CA

Active since January 16, 2018CLIA 05D2170888 · Waiver
20554 ROSCOE BLVD, CANOGA PARK, CA 91306(818) 341-9800(818) 341-1925 Get Directions Write a Review

NPPES record last updated: January 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canyon Vista Post Acute Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANYON VISTA POST ACUTE LLC (NPI 1093223729) is a healthcare organization registered as a skilled nursing facility in Canoga Park, California and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Crystal Solorzano, Manager, as its authorized official.

NPPES Registry Identity

NPI1093223729
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCANYON VISTA POST ACUTE LLC
Location Address20554 ROSCOE BLVDCanoga Park, CA 91306-1746
Mailing Address107 W Lemon AveMonrovia, CA 91016-2809 · (626) 346-0300 · Fax (626) 737-7260
Fax(818) 341-1925
Organization SubpartNo
Authorized OfficialCrystal SolorzanoManager · (626) 346-0300
Enumeration DateJanuary 16, 2018
NPI 1093223729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 920000041
Definition
(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.
20554 ROSCOE BLVD, Canoga Park, CA 91306

Other Identifiers 1

MedicaidZZT18160GCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2170888

Canyon Vista Post Acute LLC · Canoga Park, CA
Active · expires Aug 20, 2027
CLIA Number05D2170888
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorRobby Ayoub
Laboratory Phone(818) 401-1493
Laboratory LocationCanyon Vista Post Acute LLC20554 Roscoe Boulevard, Canoga Park, CA 91306
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
20554 ROSCOE BLVD
WINNETKA, CA 91306
Skilled Nursing Facility
20554 ROSCOE BLVD
CANOGA PARK, CA 91306
Skilled Nursing Facility
20554 ROSCOE BLVD
CANOGA PARK, CA 91306
Skilled Nursing Facility
20554 ROSCOE BLVD
CANOGA PARK, CA 91306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canyon Vista Post Acute LLC's NPI number?

The NPI number for Canyon Vista Post Acute LLC is 1093223729. It was assigned to this organization in the NPPES registry on January 16, 2018.

Where is Canyon Vista Post Acute LLC located?

Canyon Vista Post Acute LLC is located at 20554 Roscoe Blvd, Canoga Park, CA 91306. The listed phone number is (818) 341-9800.

What is Canyon Vista Post Acute LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Canyon Vista Post Acute LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2170888) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Canyon Vista Post Acute LLC was last updated on January 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.