Shea Family Care South Bay, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

090000107 Issued in CA

Legal business name

SHEA FAMILY CARE SOUTH BAY, INC.

Practice address

553 F St
Chula Vista, CA 91910-3515

Phone

(619) 426-8611

Fax

(619) 498-1401

NPI assigned

May 23, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Mary Patricia Miller

Title

Chief Legal Counsel

Phone

(619) 441-8771

Specialties & licenses 1

Addresses

Tax ID family

Bayside Healthcare 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.

• Bayside Healthcare, Inc.

  • Skilled Nursing Facility
  • Chula Vista, CA
  • NPI 1376946277
  NPD tax ID

Locations

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1265879795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 GILLESPIE WAY STE 212",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920200921",
            "telephone_number": "619-441-8771",
            "fax_number": "619-441-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 F ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103515",
            "telephone_number": "619-426-8611",
            "fax_number": "619-498-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA FAMILY CARE SOUTH BAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CHIEF LEGAL COUNSEL",
        "authorized_official_telephone_number": "619-441-8771",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "090000107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharp Rees-Stealy Medical Group Inc
• Sharp Rees-Stealy Medical Group Inc
• Kayla Sharp
• Kathleen Shaw
• Tiffany L Shay Alexander, M.D.
• Jesse Shechter, MD
• Anita Sheck, O.D.
• Jasmine Nghien Sheehy, PHARM D.
• Jenneh Sheetz
• Karoline Sheffield, CMT, CMLDT

• All providers in Chula Vista, CA
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.