Individual provider Active NPI

Edward Gadia, RCFE ADMINISTRATOR

  • Nursing Home Administrator
  • Fairfield, CA
National Provider Identifier
1336856798
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
RCFE Issued in CA
Practice address
524 Americano Way
Fairfield, CA 94533-7212
Phone
(707) 344-4744
Fax
(707) 759-4136
NPI assigned
Nov 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN185528 CA
Nursing Home Administrator 376G00000X CA
Nursing Home Administrator 376G00000X RCFE CA Primary

Addresses

Primary practice location

524 Americano Way
Fairfield, CA 94533-7212

Mailing address

524 Americano Way
Fairfield, CA 94533-7212
Phone (707) 344-4744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VN185528CAMDLicensed Vocational Nurse
RCFECAMDNursing Home Administrator

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1336856798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 AMERICANO WAY",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945337212",
            "telephone_number": "707-344-4744",
            "fax_number": "707-759-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 AMERICANO WAY",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945337212",
            "telephone_number": "707-344-4744",
            "fax_number": "707-759-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADIA",
        "first_name": "EDWARD",
        "credential": "RCFE ADMINISTRATOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN185528",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CA",
            "license": "RCFE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.