PCC Health Services Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PCC HEALTH SERVICES INC

Doing business as

Emmanuel Health Care & Rehab Center West Covina

Practice address

1495 West Cameron Ave
West Covina, CA 91790-2710

Phone

(626) 962-4461

Fax

(626) 962-2903

NPI assigned

Jul 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Richard Schwartz

Title

Administrator

Phone

(626) 962-4461

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emmanuel Health Care & Rehab Center West Covina Doing business as

Tax ID family

Emmanuel Health Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Emmanuel Health Care

  • Skilled Nursing Facility
  • Glendora, CA
  • NPI 1508848730
  NPD tax ID
• Pleasant Care Corp

  dba Norwalk Emmanuel Health Care Center

  • Skilled Nursing Facility
  • Norwalk, CA
  • NPI 1922089697
  NPD tax ID

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093746687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 WEST CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902710",
            "telephone_number": "626-962-4461",
            "fax_number": "626-962-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 WEST CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902710",
            "telephone_number": "626-962-4461",
            "fax_number": "626-962-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-962-4461",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06079J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmanuel Health Care & Rehab Center West Covina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trislyn Paulino
• Samantha Pavano
• Emily Louise Pavlisin
• Renee N Payne, FNP
• Ricardo Paz, L.P.T
• PCC Health Services Inc (Emmanuel Health Care West Covina)
• Amanda Kathleen Pearson
• Pediatrix Medical Group of California, a Professional Corp
• Ignacio Pedraza
• Evangeline Baquiran Pelaez, ANP-BC

• Skilled Nursing Facility in West Covina, CA
• Providers in West Covina, 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 Aug 22, 2020; 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.