Marybeth-Heidi Co.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940000016 Issued in CA

Legal business name

MARYBETH-HEIDI CO.

Practice address

9710 E. Artesia Blvd.
Bellflower, CA 90706-6638

Phone

(562) 925-2274

Fax

(562) 867-3714

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Sean Pellicer, NHA

Title

Administrator

Phone

(562) 925-2274

Specialties & licenses 1

Addresses

Other names 1

• DBA Bellflower Convalescent Hospital Doing business as

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1265594824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 E. ARTESIA BLVD.",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066638",
            "telephone_number": "562-925-2274",
            "fax_number": "562-867-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 E. ARTESIA BLVD.",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066638",
            "telephone_number": "562-925-2274",
            "fax_number": "562-867-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYBETH-HEIDI CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "PELLICER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-925-2274",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Bellflower Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karina Martinez Teutla
• Diane Rose Martinez
• Evelyn Lizette Martinez
• Saima Martinez, RDA
• Samantha T Martinez
• Ehrnad Jess Marzo, MD
• Mahin Mashhood, MD
• Master Chief Inc.
• Grigor Matentsian, MD
• Theresa Matheson

• Skilled Nursing Facility in Bellflower, CA
• Providers in Bellflower, 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 16, 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.