B & M Inc. - Fleetwood

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

B & M INC. - FLEETWOOD

Practice address

2796 Fleetwood Dr
San Bruno, CA 94066-2627

Phone

(650) 273-8181

NPI assigned

Apr 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Marissa Legarda

Title

President Ceo

Phone

(650) 273-8181

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013131671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 POINTE VIEW PL",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801673",
            "telephone_number": "650-273-8181",
            "fax_number": "650-359-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2796 FLEETWOOD DR",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662627",
            "telephone_number": "650-273-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & M INC. - FLEETWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEGARDA",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "650-273-8181",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desirea Cyrstal Avery
• Amber Avila
• Kathia Marie Avila
• Elizabeth Avina
• Donia Awadallah
• Sesilia Baca
• Rebeca Cristina Baculpo, LCSW
• Joshua Bader
• Christian Badilla
• Alison Bagneschi, THERAPIST

• Intellectual Disabilities Intermediate Care Facility in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.