Organization Active NPI

RBB Healthcare Inc.

  • Skilled Nursing Facility
  • Glendora, CA
National Provider Identifier
1356528640
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RBB HEALTHCARE INC.
Doing business as
Gladstone Care & Rehabilitation Center
Practice address
435 E Gladstone St
Glendora, CA 91740-5159
Phone
(626) 963-5955
Fax
(626) 963-5235
NPI assigned
Jan 29, 2008
Organization subpart
Yes
Parent organization
RBB HEALTHCARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Marino Depaz
Title
Assistant Administrator
Phone
(626) 963-5955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

435 E Gladstone St
Glendora, CA 91740-5159

Mailing address

435 E Gladstone St
Glendora, CA 91740-5159
Phone (626) 963-5955

Other identifiers 1

IdentifierTypeStateIssuer
LTC70155FMedicaidCA

Other names 1

  • Gladstone Care & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Part of
RBB Healthcare Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1356528640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E GLADSTONE ST",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405159",
            "telephone_number": "626-963-5955",
            "fax_number": "626-963-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E GLADSTONE ST",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405159",
            "telephone_number": "626-963-5955",
            "fax_number": "626-963-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RBB HEALTHCARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RBB HEALTHCARE INC.",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "DEPAZ",
        "authorized_official_first_name": "MARINO",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "626-963-5955"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70155F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gladstone Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.