VETERANS HOME OF CALIFORNIA - WEST LOS ANGELES
NPI 1821316076
Skilled Nursing Facility in Los Angeles, CA

NPI Status: Active since May 12, 2010

Contact Information

11500 NIMITZ AVE
LOS ANGELES, CA
ZIP 90049
Phone: (818) 742-1752
Fax: (818) 742-1758

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 05D2012666
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 04-09-2028

About VETERANS HOME OF CALIFORNIA - WEST LOS ANGELES

This page provides the complete NPI Profile along with additional information for Veterans Home Of California - West Los Angeles, a provider established in Los Angeles, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1821316076 assigned on May 2010. The practitioner's primary taxonomy code is 314000000X with license number 550002051 (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 Veterans Home Of California - West Los Angeles. The authorized official of this NPI record is Ani Khachatoorian (Finance Manager)

NPI
1821316076
Provider Legal Name
DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA
Other Organization Name
VETERANS HOME OF CALIFORNIA - WEST LOS ANGELES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11500 NIMITZ AVE LOS ANGELES, CA 90049
Location Phone
(818) 742-1752
Location Fax
(818) 742-1758
Mailing Address
PO BOX 942895 SACRAMENTO, CA 94295
Mailing Phone
(916) 657-9349
Mailing Fax
(818) 742-1758
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2010
Last Update Date
05-15-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
550002051
License State
CA
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1310400000XNursing & Custodial Care Facilities

Assisted Living Facility

197607966 (CA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANI KHACHATOORIAN

Authorized Official Title
FINANCE MANAGER
Authorized Official Phone
(424) 832-8551

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2012666
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
April 10, 2026
Certificate Expiration Date
April 09, 2028
Laboratory Director
PAUL DE JESUS FORTALEZA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Veterans Home Of California - West Los Angeles to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821316076, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 6 + 1 + 1 + 2 + 0 + 1 + 4 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1821316076.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Internal Medicine (Geriatric Medicine)
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Social Worker (Clinical)
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Physical Therapist
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Physical Therapist
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Pharmacist
11500 NIMITZ AVE, PHARMACY DEPT
LOS ANGELES, CA 90049
Pharmacist (Pharmacotherapy)
11500 NIMITZ AVE, ATTN: PHARMACY
LOS ANGELES, CA 90049
Occupational Therapist
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Nurse Practitioner (Gerontology)
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Occupational Therapist
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Psychiatry & Neurology (Geriatric Psychiatry)
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Surgery
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Dietitian, Registered
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Social Worker (Clinical)
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Social Worker (Clinical)
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Social Worker (Clinical)
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Occupational Therapist (Physical Rehabilitation)
11500 NIMITZ AVE, REHAB 3 FLOOR
LOS ANGELES, CA 90049
Psychologist (Clinical)
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Social Worker (Clinical)
11500 NIMITZ AVE
LOS ANGELES, CA 90049

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821316076, enumerated as an "organization" on May 12, 2010.

The provider is located at 11500 NIMITZ AVE LOS ANGELES, CA 90049 and the phone number is (818) 742-1752.

Skilled Nursing Facility with taxonomy code 314000000X.