Active NPI
Fair Oaks Residential Treatment Facility
- Skilled Nursing Facility
- Fair Oaks, CA
National Provider Identifier
1043755051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 550003745
- Legal business name
- FAIR OAKS RESIDENTIAL TREATMENT FACILITY
- Practice address
- 7959 Orange Ave
Fair Oaks, CA 95628-5916 - Phone
- (916) 436-4291
- Fax
- (916) 436-4338
- NPI assigned
- Dec 29, 2016
- Last updated
- Dec 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Martin
- Title
- Ceo
- Phone
- (916) 436-4291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 550003745 | CA | Primary |
Addresses
Primary practice location
7959 Orange Ave
Fair Oaks, CA 95628-5916
Mailing address
7959 Orange Avenue
Fair Oaks, CA 95628-5916
Phone (916) 436-4291
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483056000000",
"number": "1043755051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7959 ORANGE AVENUE",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956285916",
"telephone_number": "916-436-4291",
"fax_number": "916-436-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7959 ORANGE AVE",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956285916",
"telephone_number": "916-436-4291",
"fax_number": "916-436-4338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIR OAKS RESIDENTIAL TREATMENT FACILITY",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-29",
"last_updated": "2016-12-30",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-436-4291",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "550003745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Oaks, CA
- Eskaton Properties, Incorporated (Eskaton Care Center Fair Oaks)
- Eskaton Properties, Incorporated (Eskaton Home Healthcare)
- Christin Estes
- Danny Wood Evans
- Fair Oaks Quality Dental Inc
- Fair Oaks Villas
- Zarlasht Fakiri, D.O
- Jordan Shea Falasco
- Family Home Medical Inc
- Family Medicine and Ambulatory Care (Family Medicine and Ambulatory Care Center, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.