West Sacramento Nursing and Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WEST SACRAMENTO NURSING AND REHABILITATION CENTER

Doing business as

West Sacramento Nursing and Rehabilitation Center

Practice address

751 Elm Street
West Sacramento, CA 95605

Phone

(530) 902-4142

NPI assigned

May 11, 2018

Last updated

Sep 13, 2021By 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. David Manukyan

Title

Administrator

Phone

(916) 572-0085

Specialties & licenses 2

Addresses

Other names 1

• West Sacramento Nursing and Rehabilitation Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1104316413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 ELM STREET",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "95605",
            "telephone_number": "916-572-0085",
            "fax_number": "916-572-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 ELM STREET",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "95605",
            "telephone_number": "530-902-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SACRAMENTO NURSING AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-572-0085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Sacramento Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Sacramento Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Welk, MA
• David Wayne Weller, FNP
• Wellspace Health
• West Sac Medical Group Inc (West Sacramento Urgent Care)
• West Sacramento Dialysis LLC (West Sacramento Dialysis Center)
• West Sacramento Primary Care Inc. (West Sacramento Primary Care)
• West Sacramentopediatric Medical Group,Inc
• Ramillies Dwayne Whitfield
• Travis Whitted
• Lakisha Williams

• Skilled Nursing Facility in West Sacramento, CA
• Providers in West Sacramento, 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 Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.