RBB Healthcare Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RBB HEALTHCARE INC.

Doing business as

GLADSTONE CARE & REHABILITATION CENTER

Practice address

435 E Gladstone St
Glendora, CA 91740-5159

Phone

(626) 963-5955

Fax

(626) 963-8683

NPI assigned

Sep 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Cipriano Bautista Jr.

Title

Administrator

Phone

(626) 963-5955

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• GLADSTONE CARE & REHABILITATION CENTER Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• RBB Healthcare Inc.

  • Skilled Nursing Facility
  • Glendora, CA
  • NPI 1356528640
  NPPES parent name

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013901313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E GLADSTONE ST",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405159",
            "telephone_number": "626-963-5955",
            "fax_number": "626-963-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E GLADSTONE ST",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405159",
            "telephone_number": "626-963-5955",
            "fax_number": "626-963-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RBB HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "CIPRIANO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-963-5955",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70155F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06118H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLADSTONE CARE & REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paramjit Kaur Randhawa, BSC
• Randy R Burt, OD Inc.
• Revathy Ranganathan
• Kristen Danielle Rawlings, LMFT
• Raymundo S Bautista, MD, Prof Corp
• RBB Healthcare Inc.
• Kayla R Recio
• Darryl Reed Jr.
• Leah Fortson Reed, PHD
• Desiree Alexandria Reeder

• Skilled Nursing Facility in Glendora, CA
• Providers in Glendora, CA by specialty
• Skilled Nursing 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.