DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA (NPI# 1821316076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821316076 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA |
| Other Organization Name | VETERANS HOME OF CALIFORNIA - WEST LOS ANGELES |
| Practice Address |
11500 Nimitz Ave Los Angeles CA 90049-3566 |
| Mailing Address |
Po Box 942895 Sacramento CA 94295-0001 |
| Practice Telephone | 8187421752 |
| Practice Fax Number | 8187421758 |
| Mailing Telephone | 9166579349 |
| Mailing Fax Number | 9166531795 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | ANI KHACHATOORIAN (FINANCE MANAGER) |
| Authorized Official Telephone | 4248328551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 197607966 | CA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 550002051 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Veterans Home of California - West Los Angeles | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912278003 | Department of Veterans Affairs of The State of California | Pharmacy | 11500 Nimitz Ave Ste D301, Los Angeles, CA 90049-3566 | 2012-01-20 |
| 1770903775 | Department of Veterans Affairs of The State of California | Assisted Living Facility | 2811 W California Ave, Fresno, CA 93706-2307 | 2014-04-17 |
| 1396165353 | Department of Veterans Affairs of The State of California | Assisted Living Facility | 3400 Knighton Rd, Redding, CA 96002-9498 | 2014-04-17 |
| Street Address |
11500 NIMITZ AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049-3566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306897053 | Robert Elliot Neshkes | Psychiatry & Neurology | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2006-05-15 |
| 1174149231 | Parastoo Shadmani | Dietitian, Registered | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2020-06-24 |
| 1689192346 | Suzanne Marie Banda | Speech-Language Pathologist | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2017-09-01 |
| 1043659931 | Sun Chang | Occupational Therapist | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2013-06-24 |
| 1932447232 | Priscilla Park | Occupational Therapist | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2013-01-21 |
| 1639413503 | Robert Stephen Wilkes | Social Worker | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2012-11-16 |
| 1477826709 | Jennifer C Wu | Pharmacist | 11500 Nimitz Ave, Attn: Pharmacy, Los Angeles, CA 90049-3566 | 2012-02-16 |
| 1659691178 | Stanley T Nomura | Pharmacist | 11500 Nimitz Ave, Pharmacy Dept, Los Angeles, CA 90049-3566 | 2010-06-07 |
| 1093942179 | Kistyn Joi Gritney | Social Worker | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2009-06-16 |
| 1508914573 | Warren Frederick Gold | Surgery | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245879709 | Pacifica Sakura Gardens Icf LLC | Skilled Nursing Facility | 325 S. Boyle Avenue, Los Angeles, CA 90033-3812 | 2020-01-02 |
| 1780179770 | Bedside Gtube Replacement and Management | Skilled Nursing Facility | 10420 S Figueroa St, Los Angeles, CA 90003-4424 | 2018-06-22 |
| 1053852772 | Carehome Doctors, Inc | Skilled Nursing Facility | 501 S Oxford Ave Apt 17, Los Angeles, CA 90020-4228 | 2017-03-14 |
| 1124567334 | Pmnp Medical Services Inc | Skilled Nursing Facility | 433 S Lake St Apt 214, Los Angeles, CA 90057-2740 | 2017-02-21 |
| 1124566229 | Resource Connect Staffing, LLC | Skilled Nursing Facility | 3654 W 60th St, Los Angeles, CA 90043-2906 | 2017-02-08 |
| 1932658010 | Golden State Homes, Inc. | Skilled Nursing Facility | 1409 N Normandie Ave, Los Angeles, CA 90027-5817 | 2016-09-29 |
| 1952768491 | Ryan Stybel Optometry Inc | Skilled Nursing Facility | 8045 Emerson Ave, Los Angeles, CA 90045-1406 | 2016-01-27 |
| 1194195164 | College Vista, LLC | Skilled Nursing Facility | 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 | 2015-10-02 |
| 1922411735 | Avalon Post Acute LLC | Skilled Nursing Facility | 12029 Avalon Blvd, Los Angeles, CA 90061-2838 | 2014-06-09 |
| 1750633350 | Pasadena Meadows Nursing Center, Lp | Skilled Nursing Facility | 1141 S Beverly Dr, Floor 3, Los Angeles, CA 90035 | 2012-10-05 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90049 |
Please comment or provide details below to improve the information on DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.