Convalescent Center Mission St. Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CONVALESCENT CENTER MISSION ST. INC.

Doing business as

San Francisco Nursing Center

Practice address

5767 Mission St.
San Francisco, CA 94112

Phone

(415) 584-3294

Fax

(415) 584-7714

NPI assigned

Nov 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James Preimesberger

Title

President

Phone

(925) 855-0881

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• San Francisco Nursing Center Doing business as

Tax ID family

Convalescent Center Mission St Inc2 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.

• San Franciscoidence Opco, LLC

  dba San Francisco Post Acute

  • Skilled Nursing Facility
  • San Francisco, CA
  • NPI 1124405121
  NPD tax ID

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1194716712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 EXECUTIVE PKWY",
            "address_2": "SUITE 150",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834210",
            "telephone_number": "925-855-0881",
            "fax_number": "925-855-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5767 MISSION ST.",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94112",
            "telephone_number": "415-584-3294",
            "fax_number": "415-584-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVALESCENT CENTER MISSION ST. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "PREIMESBERGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-855-0881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06449I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Francisco Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miguel Alberto Contreras
• Monique Contreras
• Norma Estella Contreras
• Rosslyn Contreras
• Victor Manuel Contreras, MD
• Allan Marc Conway, MD
• Grace Conway
• Peter Bedford Cooch, M.D.
• Allyson Cook, L.AC
• Althea Cook

• Skilled Nursing Facility in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.