NPIMap

Organization Active NPI

Kaiser

  • Skilled Nursing Facility
  • San Leandro, CA
National Provider Identifier
1255616280
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
943494 Issued in CA
Legal business name
KAISER
Practice address
1440 168TH Ave
San Leandro, CA 94578-2409
Phone
(510) 481-6319
NPI assigned
Oct 21, 2011
Last updated
Oct 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Ms. Tabassum Munir, RDNPI 1306993993
Title
Clinical Dietitian
Phone
(510) 481-6319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 943494 CA Primary

Addresses

Primary practice location

1440 168TH Ave
San Leandro, CA 94578-2409

Mailing address

1440 168TH Ave
San Leandro, CA 94578-2409
Phone (510) 481-6319

National Provider Directory

National Provider Directory

Locations

1440 168th Ave
Ashland, CA 94578
Phone (510) 481-6319

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1255616280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 168TH AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782409",
            "telephone_number": "510-481-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 168TH AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782409",
            "telephone_number": "510-481-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "MUNIR",
        "authorized_official_first_name": "TABASSUM",
        "authorized_official_title_or_position": "CLINICAL DIETITIAN",
        "authorized_official_telephone_number": "510-481-6319",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "943494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.