Organization Active NPI

Genesis Healthcare

  • Skilled Nursing Facility
  • Castro Valley, CA
National Provider Identifier
1013300532
Registry record updated Mar 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
AT 3044 Issued in CA
Legal business name
GENESIS HEALTHCARE
Practice address
5165 Crane Ave
Castro Valley, CA 94546-2529
Phone
(510) 332-5825
NPI assigned
Mar 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2015

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

Authorized official

Name
Ms. Lisa Fujita-Binkley
Title
Pta
Phone
(510) 332-5825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X AT 3044 CA Primary

Addresses

Primary practice location

5165 Crane Ave
Castro Valley, CA 94546-2529

Mailing address

5165 Crane Ave
Castro Valley, CA 94546-2529
Phone (510) 332-5825

National Provider Directory

National Provider Directory
Tax ID family
Genesis Health Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1425772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425772800000",
    "number": "1013300532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5165 CRANE AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945462529",
            "telephone_number": "510-332-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 CRANE AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945462529",
            "telephone_number": "510-332-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-08",
        "last_updated": "2015-03-08",
        "status": "A",
        "authorized_official_last_name": "FUJITA-BINKLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "510-332-5825",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "AT 3044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2015; 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.