Active NPI
California Convalescent Center 1 Inc
- Skilled Nursing Facility
- Los Angeles, CA
National Provider Identifier
1164728143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 970000065
- Legal business name
- CALIFORNIA CONVALESCENT CENTER 1 INC
- Practice address
- 909 S Lake St
Los Angeles, CA 90006-2113 - Phone
- (213) 385-7301
- Fax
- (213) 385-0539
- NPI assigned
- Feb 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Evelyn Bonifacio
- Title
- Corporate Secretary
- Phone
- (213) 385-7301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 970000065 | CA | Primary |
Addresses
Primary practice location
909 S Lake St
Los Angeles, CA 90006-2113
Mailing address
909 S Lake St
Los Angeles, CA 90006-2113
Phone (213) 385-7301
National Provider Directory
National Provider Directory- Tax ID family
- California Convalescent Center 1
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1255620688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297123200000",
"number": "1164728143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 S LAKE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062113",
"telephone_number": "213-385-7301",
"fax_number": "213-385-0539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 S LAKE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062113",
"telephone_number": "213-385-7301",
"fax_number": "213-385-0539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA CONVALESCENT CENTER 1 INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-08",
"last_updated": "2011-02-08",
"status": "A",
"authorized_official_last_name": "BONIFACIO",
"authorized_official_first_name": "EVELYN",
"authorized_official_title_or_position": "CORPORATE SECRETARY",
"authorized_official_telephone_number": "213-385-7301"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "970000065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- California Assisted Pharmacy, Inc (California Assisted Pharmacy)
- California Breastfed Babies
- California Care Corp.
- California Center for Refractive Surgery
- California Center for Refractive Surgery a Medical Corporation
- California Convalescent Center 1 Inc
- California Convalescent Center, #1
- California Creative Learning Academy (Cal Creative)
- California Daily Comfort, Inc. (Daily Comfort Home Health)
- California Department of Mental Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.