Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MEK NORWOOD PINES LLC
Active
Organization
MEK NORWOOD PINES LLC
Active
Other names
Norwood Pines Alzheimers Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNAN PEDRAJA (FINANCIAL CONTROLLER)
(818) 247-6200
Entity
Organization
Contact information
Practice address
500 JESSIE AVENUE, SACRAMENTO, CA 95838-2609
(916) 922-7177
(916) 922-5782
Mailing address
1506 S. GLENDALE AVENUE, GLENDALE, CA 91205
(818) 247-6200
(818) 247-6213
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
030000010
CA
311500000X
Alzheimer Center (Dementia Center)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0988752
CLIA ID NUMBER
CA
05
—
ZZR06045K
—
CA
Enumeration date
06/22/2005
Last updated
04/11/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up