Del Monte Icf Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

DEL MONTE ICF INC

Practice address

2893 El Camino Real
Suite C
Redwood City, CA 94061-4001

Phone

(650) 216-9960

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Rosemarie Tambot Veridiano, PHARMACIST

Title

President

Phone

(650) 580-2983

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DEL MONTE ICF DDN Doing business as

Tax ID family

Adams Icf Idd N3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Del Monte Icf Inc

  • Intellectual Disabilities Intermediate Care Facility
  • South San Francisco, CA
  • NPI 1053536011
  NPD tax ID
• Del Monte Icf Inc

  • Intellectual Disabilities Intermediate Care Facility
  • San Mateo, CA
  • NPI 1205051273
  NPD tax ID

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265657209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 DEL MONTE AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940802220",
            "telephone_number": "650-876-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2893 EL CAMINO REAL",
            "address_2": "SUITE C",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940614001",
            "telephone_number": "650-216-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL MONTE ICF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERIDIANO",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_middle_name": "TAMBOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-580-2983",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LONG TERM CARE",
            "identifier": "55G095",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEL MONTE ICF DDN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Deffner, PT
• Peter Richard Deffner, P.T.
• Rebecca Degodoy
• Robert A Deirossi
• Samantha Del Castillo, PH.D.
• Mayra Munoz Del Real, DROT
• Juan Del Rio, DMD
• Luis Andrew Del Toro
• Andrea Raquel Delariyala, MS
• Barbara Pacifico Deleon, CNS

• Intellectual Disabilities Intermediate Care Facility in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.