West Anaheim Extended Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060000255 Issued in CA

Legal business name

WEST ANAHEIM EXTENDED CARE

Practice address

645 S Beach Blvd
Anaheim, CA 92804-3102

Phone

(714) 821-1993

Fax

(714) 821-8450

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Victoria Llamado

Title

Office Manager

Phone

(714) 821-1993

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1235235300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S BEACH BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043102",
            "telephone_number": "714-821-1993",
            "fax_number": "714-821-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S BEACH BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043102",
            "telephone_number": "714-821-1993",
            "fax_number": "714-821-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ANAHEIM EXTENDED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "LLAMADO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-821-1993"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "060000255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55388G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Wemstrom
• Nicholas Eugene Wenster, RT1437870326
• Zoe Gabrielle Wentzell
• Hannah Beth Wernli
• Carol J Wesner, CRNA
• West Anaheim Family Physicians, Inc.
• West Anaheim Medical Center
• West Care Family Medical Center a Professional Corporation
• West Coast Radiology Center - Anaheim
• West Regional Cardiothoracic & Vascular Surgeons W R Vein Center

• Skilled Nursing Facility in Anaheim, CA
• Providers in Anaheim, 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 Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.