South Bay Sunset Pavilion

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTH BAY SUNSET PAVILION

Practice address

1565 Gulf Ave
Wilmington, CA 90744-2011

Phone

(310) 729-5118

NPI assigned

Jan 28, 2018

Organization subpart

No

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

Authorized official

Name

Rasmia Rogong, RN

Title

Ceo

Phone

(310) 462-4942

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517097600000",
    "number": "1356849061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 GULF AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442011",
            "telephone_number": "310-729-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 GULF AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442011",
            "telephone_number": "310-729-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY SUNSET PAVILION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-28",
        "last_updated": "2018-01-28",
        "status": "A",
        "authorized_official_last_name": "ROGONG",
        "authorized_official_first_name": "RASMIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-462-4942",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Irene Smith, LVN
• Brandon Rene Solares
• South Bay Center for Counseling
• South Bay Express Nursing , Inc.
• South Bay Medical Supply
• King Anthony Sparks, PHLEBOTOMY TECHNICIA
• Starship Medical Corporation
• Starship Medical Corporation
• Stevedores Physicians Group a PC
• Carole King Stevenson, RN, MSN, FNP-BC

• Skilled Nursing Facility in Wilmington, CA
• Providers in Wilmington, 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 Jan 28, 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.