NORTHRIDGE MANOR
NPI 1972259190
Intermediate Care Facility, Mental Illness in Northridge, CA
About Northridge Manor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHRIDGE MANOR (NPI 1972259190) is a healthcare organization registered as an intermediate care facility, mental illness in Northridge, California and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Arsen Andreasyan, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 05D2290966
Northride Manor · Northridge, CAFrequently 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 Northridge Manor's NPI number?
The NPI number for Northridge Manor is 1972259190. It was assigned to this organization in the NPPES registry on February 25, 2022.
Where is Northridge Manor located?
Northridge Manor is located at 9501 Vanalden Ave, Northridge, CA 91324. The listed phone number is (818) 203-7779.
What is Northridge Manor's specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.
Does Northridge Manor hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2290966) is associated with this NPI, valid through October 2, 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 Northridge Manor was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Northridge Manor · NPI 1972259190
Intermediate Care Facility, Mental Illness organization in Northridge, California. Organization record, active in the CMS NPPES registry since February 25, 2022.
## Identity
- **NPI:** 1972259190 (Entity type: Organization)
- **Enumerated:** February 25, 2022
- **Primary specialty:** Intermediate Care Facility, Mental Illness · taxonomy 310500000X
- **Organization subpart:** No
- **Authorized official:** Arsen Andreasyan, CEO
## Practice location
- **Address:** 9501 VANALDEN AVE, Northridge, CA 91324-1762
- **Phone:** (818) 203-7779
## Record status
- **NPPES last updated:** February 25, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1972259190) · Data from the CMS NPPES public registry.