Cccma

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

22677 Issued in CA

Legal business name

CCCMA

Practice address

1149 Fernwood Dr
Millbrae, CA 94030-1011

Phone

(650) 302-5864

NPI assigned

Aug 7, 2013

Last updated

Aug 7, 2013By 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

Ash Jain

Title

Ceo

Phone

(510) 796-0222

Specialties & licenses 2

Addresses

Tax ID family

California Cardiovascular2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• California Cardiovascular Consultants Medical Associates Cor

  • Internal Medicine Physician
  • Hayward, CA
  • NPI 1659623676
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Tian, FNP

  • Acute Care Nurse Practitioner
  • Millbrae, CA
  • NPI 1568861342
  NPD (past)

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1174955587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27206 CALAROGA AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 FERNWOOD DR",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940301011",
            "telephone_number": "650-302-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCCMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "ASH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-796-0222"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": "22677",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Calabrese, M.A., CCC-SLP
• California Emergency Physicians Medical Group, a Professional Corp.
• Caturay Dental Corporation
• Jose Brendo Angeles Caturay, D.D.S.
• Pedro A. Caturay, DDS
• Wei-Lin Chang-Lubiano, PHARMD
• Marisa Chang, M.S, BCBA
• Patricia Chang, O.D.
• Janet Xinghua Chen, PHARM D
• Zihao Chen

• Long Term Care Hospital in Millbrae, CA
• Providers in Millbrae, CA by specialty
• Long Term Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.