Individual provider Active NPI

Cornelia Cata

  • Assisted Living Facility
  • Carmichael, CA
National Provider Identifier
1033649405
Registry record updated Jun 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
347002550 Issued in CA
Practice address
5000 Melvin Dr
Carmichael, CA 95608-4930
Phone
(916) 470-2978
NPI assigned
Jun 18, 2017
Last updated
Jun 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 347002550 CA Primary

Addresses

Primary practice location

5000 Melvin Dr
Carmichael, CA 95608-4930

Mailing address

5000 Melvin Dr
Carmichael, CA 95608-4930
Phone (916) 470-2978

Other identifiers 1

IdentifierTypeStateIssuer
347002550OtherCAASSISTED LIVING FACILITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
347002550CAMDAssisted Living Facility

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497744000000",
    "number": "1033649405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 MELVIN DR",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084930",
            "telephone_number": "916-470-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 MELVIN DR",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084930",
            "telephone_number": "916-470-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATA",
        "first_name": "CORNELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "347002550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY",
            "identifier": "347002550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; 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.