Lake Balboa Health Care, Inc.
NPI 1053396366 · Skilled Nursing Facility · Van Nuys, CA
Lake Balboa Health Care, Inc. is a Skilled Nursing Facility organization in Van Nuys, CA (NPI 1053396366).
Provider details
- NPI number
- 1053396366
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Marc Johnson, Cfo(949) 373-8373
- License
- 920000005 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Balboa Post-Acute Rehab
- Doing business as
- Lake Balboa Post-Acute Rehab
Registry dates
- Enumerated
- 2005-12-08
- Last updated
- 2024-04-05
- Certified
- 2024-04-05
Frequently asked questions
- What is Lake Balboa Health Care, Inc.'s NPI number?
- Lake Balboa Health Care, Inc.'s National Provider Identifier (NPI) is 1053396366, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Balboa Health Care, Inc.?
- Lake Balboa Health Care, Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lake Balboa Health Care, Inc. located?
- Lake Balboa Health Care, Inc.'s practice location on file with NPPES is 16955 Vanowen St, Van Nuys, CA 91406-4542.
- What is Lake Balboa Health Care, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Balboa Health Care, Inc. is (818) 343-0700.
- Who is the authorized official for Lake Balboa Health Care, Inc.?
- The authorized official listed on Lake Balboa Health Care, Inc.'s NPPES record is Marc Johnson, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Balboa Health Care, Inc.'s NPI active?
- Yes — Lake Balboa Health Care, Inc.'s NPI (1053396366) is active in the NPPES registry as of the last update on 2024-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.