Trinity Oakland, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TRINITY OAKLAND, INC

Doing business as

Country Oaks Care Center

Practice address

215 W Pearl St
Pomona, CA 91768-3114

Phone

(909) 622-1067

Fax

(909) 622-0412

NPI assigned

Oct 25, 2006

Last updated

Aug 21, 2007By 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

Randal Kleis

Title

President

Phone

(425) 820-9750

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Country Oaks Care Center Doing business as

Tax ID family

Trinity Oakland 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.

• Trinity Oakland, Inc

  dba Mission Nursing Center

  • Skilled Nursing Facility
  • Riverside, CA
  • NPI 1972688661
  NPD tax ID

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1265517957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W PEARL ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683114",
            "telephone_number": "909-622-1067",
            "fax_number": "909-622-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W PEARL ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683114",
            "telephone_number": "909-622-1067",
            "fax_number": "909-622-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY OAKLAND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "KLEIS",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-820-9750"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70157F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Oaks Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Phong Trieu, PH.D, , L.AC
• Aric Trinh
• Christina Trinh
• Dat Q Trinh, DO
• Megan Trinidad
• Trinity Oakland, Inc (Country Oaks Care Center)
• Trinity Oakland, Inc (Pomona Vista Alzheimers Center)
• Tripple R New Life Medical Supplies
• Rohit R Trivedi, M.D.
• Payton McCall Trollman, DPT

• Skilled Nursing Facility in Pomona, CA
• Providers in Pomona, 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 21, 2007; 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.