Millbrae Manor, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

MILLBRAE MANOR, INC

Practice address

1001 Hemlock Ave
Millbrae, CA 94030-2046

Phone

(650) 689-5778

Fax

(650) 689-5783

NPI assigned

Dec 29, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Amparo B Ragudo, NHA

Title

Cfo

Phone

(408) 315-9294

Specialties & licenses 1

Addresses

Other names 1

• Millbrae Manor, ICF Doing business as

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1144524455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 AREZZO DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382201",
            "telephone_number": "408-315-9294",
            "fax_number": "408-226-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HEMLOCK AVE",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302046",
            "telephone_number": "650-689-5778",
            "fax_number": "650-689-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBRAE MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "RAGUDO",
        "authorized_official_first_name": "AMPARO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "408-315-9294",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millbrae Manor, ICF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fabiana Melo, DDS
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• Mosaic Psychotherapy, PC
• Raymond F Muller, L.AC.
• Mohamad Nasr
• Andrew CHI-Wei NG, MD

• Nursing Facility/Intermediate Care Facility in Millbrae, CA
• Providers in Millbrae, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.