Cccma
Organization Active NPI Long Term Care Hospital · Millbrae, CA
NPI 1174955587 · NPPES record last updated Aug 7, 2013
Key facts
- NPI
- 1174955587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Hospital 282E00000X
- License
- 22677 (CA)
- Legal business name
- CCCMA
- Practice address
- 1149 Fernwood Dr
Millbrae, CA 94030-1011 - Phone
- (650) 302-5864
- NPI assigned
- Aug 7, 2013
- Organization subpart
- No
Authorized official
- Name
- Ash Jain
- Title
- Ceo
- Phone
- (510) 796-0222
Corporate family (same tax ID) 1
Practitioners 1
-
Nancy Tian, FNP
National Provider Directory
- Tax ID family
- California Cardiovascular Consultants Medical Associates Cor
Locations
27206 Calaroga Ave
Hayward, CA 94545
Phone (510) 670-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 22677 | CA | Yes |
| Family Nurse Practitioner |
363LF0000X | 22677 | CA |
Addresses
Primary practice location
1149 Fernwood Dr
Millbrae, CA 94030-1011
Mailing address
27206 Calaroga Ave
Hayward, CA 94545-4300
Other providers in Millbrae, CA
- Gina Calabrese
- California Emergency Physicians Medical Group, a Professional Corp.
- Caturay Dental Corporation
- Jose Brendo Angeles Caturay
- Pedro A. Caturay
- Wei-Lin Chang-Lubiano
- Marisa Chang
- Patricia Chang
- Janet Xinghua Chen
- Zihao Chen
All providers in Millbrae, CA · Long Term Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.