Parkside Congregate Living, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PARKSIDE CONGREGATE LIVING, INC.

Practice address

304 Haggin St
Bakersfield, CA 93309-1972

Phone

(661) 374-4079

Fax

(661) 748-1247

NPI assigned

Oct 25, 2018

Last updated

Oct 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Peter Yuzon

Title

President

Phone

(661) 374-4079

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1356818660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 HAGGIN ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091972",
            "telephone_number": "661-374-4079",
            "fax_number": "661-748-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 HAGGIN ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091972",
            "telephone_number": "661-374-4079",
            "fax_number": "661-748-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE CONGREGATE LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "YUZON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-374-4079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY BUSINESS LICENSE",
            "identifier": "1900155889",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Reade Parks, MD
• Jason Parks
• Samantha Marie Parks, RN, PHN
• Taj-Ma Parks
• Terry Lane Parks
• Parkview Julian, LLC
• Ashok M. Parmar, M.D.
• Michele Parmley, LCSW
• Antoine C Parr
• Lynn Leroy Parrish, O.D.

• Skilled Nursing Facility in Bakersfield, CA
• Providers in Bakersfield, 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 Oct 25, 2018; 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.