Chancellor Health Care of California I Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

240000167 Issued in CA

Legal business name

CHANCELLOR HEALTH CARE OF CALIFORNIA I INC

Doing business as

Linda Valley Care Center

Practice address

25383 Cole St
Loma Linda, CA 92354-3103

Phone

(909) 796-0235

Fax

(909) 796-4945

NPI assigned

Jul 21, 2006

Last updated

Apr 19, 2012By 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

Mr. Corbin Swafford

Title

Administrator

Phone

(909) 796-0235

Specialties & licenses 1

Addresses

Other names 1

• Linda Valley Care Center Doing business as

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1265453914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25383 COLE ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543103",
            "telephone_number": "909-796-0235",
            "fax_number": "909-796-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25383 COLE ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543103",
            "telephone_number": "909-796-0235",
            "fax_number": "909-796-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCELLOR HEALTH CARE OF CALIFORNIA I INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "SWAFFORD",
        "authorized_official_first_name": "CORBIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-796-0235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "240000167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linda Valley Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Kimberly Chan, MD
• Linh Lam Chan, PHARM.D.
• Matthew Chan, MD
• Yvonne W Chan, M. D.
• Chancellor Health Care of Ca (linda valley care center)
• Harsha K Chandnani, MD
• Jayaram Chandrasekar, D.O.
• Deepak N Chandwani, M.D.
• Andrew C Chang, M.D.
• Arthur Chung-Liung Chang, M.D.

• Skilled Nursing Facility in Loma Linda, CA
• Providers in Loma Linda, 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 Apr 19, 2012; 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.