Shoreline South Intermediate Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020000268 Issued in CA

Legal business name

SHORELINE SOUTH INTERMEDIATE CARE, INC.

Practice address

430 Willow St
Alameda, CA 94501-6130

Phone

(510) 523-8857

Fax

(510) 523-8940

NPI assigned

Apr 3, 2006

Organization subpart

Yes

Parent organization

WESTLINE MEDICAL MANAGERMENT INCAs reported in NPPES

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

Authorized official

Name

Shirley S Ma

Title

Administrator

Phone

(510) 523-8857

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1073575338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WILLOW ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016130",
            "telephone_number": "510-523-8857",
            "fax_number": "510-523-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WILLOW ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016130",
            "telephone_number": "510-523-8857",
            "fax_number": "510-523-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE SOUTH INTERMEDIATE CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTLINE MEDICAL MANAGERMENT INC",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-523-8857"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "020000268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR18475I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loton Shippey, MD
• Shivinder Kaur MD
• Smriti Shivpuri, M.P.H., PH.D
• Katrena Leah Shopbell
• Georgina Emily Shore, L.AC.
• Be Leo Short
• Samantha Shreckengost
• Ching Yee Shum
• Tigist Tekle Siacha, MD
• Mariah Julia Sialesa

• Skilled Nursing Facility in Alameda, CA
• Providers in Alameda, 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 Feb 3, 2010; 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.