San Marino Skilled Nursing and Wellness Centre

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

970000088 Issued in CA

Legal business name

SAN MARINO SKILLED NURSING AND WELLNESS CENTRE

Doing business as

San Marino Skilled Nursing and Wellness Centre

Practice address

2585 E Washington Blvd
Pasadena, CA 91107

Phone

(626) 463-4105

NPI assigned

Nov 5, 2008

Organization subpart

No

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

Authorized official

Name

Cheryl A Petterson

Title

V.P. Cams

Phone

(310) 574-3733

Specialties & licenses 1

Addresses

Other names 1

• San Marino Skilled Nursing and Wellness Centre Doing business as

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1023262029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 W GODLLEAF CIRCLE",
            "address_2": "400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90056",
            "telephone_number": "310-574-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "626-463-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MARINO SKILLED NURSING AND WELLNESS CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "PETTERSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "V.P. CAMS",
        "authorized_official_telephone_number": "310-574-3733"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Marino Skilled Nursing and Wellness Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Pasadena, CA
• Providers in Pasadena, 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 Jan 13, 2009; 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.