NPIMap

Organization Active NPI

Emanuel Medical Center, Inc.

  • Skilled Nursing Facility
  • Turlock, CA
National Provider Identifier
1164514287
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030000035 Issued in CA
Legal business name
EMANUEL MEDICAL CENTER, INC.
Practice address
1801 N Olive Ave
Turlock, CA 95382-2568
Phone
(209) 667-4200
Fax
(209) 664-5007
NPI assigned
Sep 28, 2006
Organization subpart
Yes
Parent organization
EMANUEL MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
David A Neapolitan
Title
Chief Financial Officer
Phone
(209) 664-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 030000035 CA Primary

Addresses

Primary practice location

1801 N Olive Ave
Turlock, CA 95382-2568

Mailing address

PO Box 819005
Turlock, CA 95381-9005
Phone (209) 667-4200

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05635GMedicaidCA

Other names 1

  • Brandel Manor Other name

National Provider Directory

National Provider Directory
Tax ID family
Brandel Manor6 organizations share this tax ID, including this one
Part of
Emanuel Medical Center Inc

Other organizations with this tax ID 5

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

Locations

880 E Tuolumne Rd
Ste 202
Turlock, CA 95382
Phone (209) 664-5168

1850 Colorado Ave
Turlock, CA 95382
Phone (209) 500-1234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1164514287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819005",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953819005",
            "telephone_number": "209-667-4200",
            "fax_number": "209-664-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N OLIVE AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822568",
            "telephone_number": "209-667-4200",
            "fax_number": "209-664-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANUEL MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMANUEL MEDICAL CENTER, INC.",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "NEAPOLITAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "209-664-5000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "030000035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05635G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandel Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.