CF Merced Behavioral, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

040000216 Issued in CA

Legal business name

CF MERCED BEHAVIORAL, LLC

Practice address

1255 B Street
Merced, CA 95340-6391

Phone

(209) 723-8814

Fax

(209) 384-3747

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Wintner

Title

Manager

Phone

(323) 651-1808

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Merced Behavioral Center Doing business as

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1124170139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 B STREET",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953406391",
            "telephone_number": "209-723-8814",
            "fax_number": "209-384-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 B STREET",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953406391",
            "telephone_number": "209-723-8814",
            "fax_number": "209-384-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CF MERCED BEHAVIORAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "WINTNER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-651-1808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "040000216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR18469G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merced Behavioral Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reynalda Cervantes
• Jessica Cervantez
• Serina Monique Cervantez
• Dennis Stephen Cesar, M.D.
• Trevor Christian Cesar
• CF Merced la Sierra, LLC
• CF Merced, LLC
• Dee Cha
• Vicky Cha
• Thomas Otheneal Chamberlin, RN

• Skilled Nursing Facility in Merced, CA
• Providers in Merced, 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 May 20, 2014; 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.