SEASIDE HOMEHEALTH,INC
NPI 1275194540
Home Health in Canoga Park, CA

Q: What is Seaside Homehealth,inc's NPI number?

The NPI number for Seaside Homehealth,inc is 1275194540. It was assigned to this organization in the NPPES registry on June 26, 2019.

Q: What is Seaside Homehealth,inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since June 26, 2019CLIA 05D2304925 · Waiver

7301 TOPANGA CANYON BLVD STE 303, CANOGA PARK, CA 91303(747) 888-4844(747) 777-8688 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Seaside Homehealth,inc NPPES

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

SEASIDE HOMEHEALTH,INC (NPI 1275194540) is a healthcare organization registered as a home health in Canoga Park, California and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Roman Khachaturov, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275194540

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameSEASIDE HOMEHEALTH,INC

Location Address7301 TOPANGA CANYON BLVD STE 303Canoga Park, CA 91303-3395

Mailing Address7301 Topanga Canyon Blvd Ste 303Canoga Park, CA 91303-3394 · (747) 888-4844 · Fax (747) 777-8688

Phone(747) 888-4844

Fax(747) 777-8688

Organization SubpartNo

Authorized OfficialRoman KhachaturovCeo · (747) 888-4844

Enumeration DateJune 26, 2019

Last NPPES UpdateSeptember 10, 2025

NPPES CertifiedSeptember 10, 2025

✔ NPI 1275194540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

7301 TOPANGA CANYON BLVD STE 303, Canoga Park, CA 91303

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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seaside Homehealth,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20200806003475Part A · Home Health AgencyDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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 05D2304925

Seaside Homehealth Inc · Canoga Park, CA

Active · expires May 20, 2028

CLIA Number05D2304925

Laboratory TypeHome Health Agency

Certificate Effective DateMay 21, 2026

Certificate Expiration DateMay 20, 2028

Laboratory DirectorVahan Koshkaryan

Laboratory Phone(747) 888-4844

Laboratory LocationSeaside Homehealth Inc7301 Topanga Canyon Blvd Suite 303, Canoga Park, CA 91303

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Seaside Homehealth,inc's NPI number?

The NPI number for Seaside Homehealth,inc is 1275194540. It was assigned to this organization in the NPPES registry on June 26, 2019.

Where is Seaside Homehealth,inc located?

Seaside Homehealth,inc is located at 7301 Topanga Canyon Blvd Ste 303, Canoga Park, CA 91303. The listed phone number is (747) 888-4844.

What is Seaside Homehealth,inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is Seaside Homehealth,inc enrolled in Medicare?

Yes. Seaside Homehealth,inc is registered in the Medicare PECOS enrollment system.

When is Seaside Homehealth,inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Home Health Agency) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Seaside Homehealth,inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2304925) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Seaside Homehealth,inc was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.