Active NPI
Pittsburg Skilled Nursing Group, Inc.
- Skilled Nursing Facility
- Pittsburg, CA
National Provider Identifier
1083019657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PITTSBURG SKILLED NURSING GROUP, INC.
- Practice address
- 535 School St
Pittsburg, CA 94565-3937 - Phone
- (925) 432-3831
- NPI assigned
- Oct 24, 2014
- 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
- Allen Leung, J.D.
- Title
- Ceo / President
- Phone
- (510) 926-8288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
535 School St
Pittsburg, CA 94565-3937
Mailing address
PO Box 1438
Alameda, CA 94501-0155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160204000763 | CA | Part A Provider - Skilled Nursing Facility | 3072822196 | Practice locations: Pittsburg, CA |
Skilled nursing facility certification: CCN 055677
- Legal name
- PITTSBURG SKILLED NURSING GROUP INC
- Doing business as
- PITTSBURG SKILLED NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 10, 1974
- Last certification
- Aug 28, 2024
- Beds
- 49
- Ownership / control type
- Corporation
- Most recent change of ownership
- Jan 1, 2015
- Organization structure
- Corporation
- Incorporated
- in CA
- Enrollment address
- 535 School St
Pittsburg, CA 94565-3937 - Nursing home name
- PITTSBURG SKILLED NURSING CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pittsburg Skilled Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 10, 1974
- Medicare certification status
- Active
- Certified beds
- 49
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
535 School St
Pittsburg, CA 94565
Phone (510) 432-3831
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Belinda Leung | 5% Or Greater Direct Ownership Interest | Jan 1, 2015 | 33% |
| Corporate Officer | Jan 1, 2015 | 33% | |
| Corporate Director | Jan 1, 2015 | 33% | |
| W-2 Managing Employee | Jan 1, 2015 | 33% | |
| Operational/Managerial Control | Jan 1, 2015 | 33% | |
| Allen Leung | 5% Or Greater Direct Ownership Interest | Jan 1, 2015 | 34% |
| Corporate Officer | Jan 1, 2015 | 34% | |
| Corporate Director | Jan 1, 2015 | 34% | |
| W-2 Managing Employee | Jan 1, 2015 | 34% | |
| Operational/Managerial Control | Jan 1, 2015 | 34% | |
| Kenneth Leung | 5% Or Greater Direct Ownership Interest | Jan 1, 2015 | 33% |
| Corporate Officer | Jan 1, 2015 | 33% | |
| Corporate Director | Jan 1, 2015 | 33% | |
| W-2 Managing Employee | Jan 1, 2015 | 33% | |
| Operational/Managerial Control | Jan 1, 2015 | 33% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461110400000",
"number": "1083019657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1438",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945010155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 SCHOOL ST",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945653937",
"telephone_number": "925-432-3831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PITTSBURG SKILLED NURSING GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-24",
"last_updated": "2016-04-20",
"status": "A",
"authorized_official_last_name": "LEUNG",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "CEO / PRESIDENT",
"authorized_official_telephone_number": "510-926-8288",
"authorized_official_credential": "J.D."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, CA
- Lady Fatima Pineda Lam, DDS
- Pinnacle Mental Wellness Group, a Family Counseling Community, Inc.
- Pittsburg Care Center Inc
- Pittsburg Medical Supply LLC
- Pittsburg Open MRI
- Pittsburg Usd
- Pittsburg-Antioch Medical Group a Professional Corporation
- Yvonne Pope-Thompson
- Thelma Porras-Guaderrama, R.D.H.
- Portia Bell Hume Behavioral Health and Training Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.