Organization Active NPI

Gaffar Enterprises Inc

  • Skilled Nursing Facility
  • Oakland, CA
National Provider Identifier
1366431074
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
ZZR05543I Issued in CA
Legal business name
GAFFAR ENTERPRISES INC
Practice address
1901 3Rd Ave
Oakland, CA 94606-1853
Phone
(510) 834-9880
Fax
(510) 763-7367
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gaffar Syed, ADOMINSTRATOR
Title
Adminstrator
Phone
(510) 834-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X ZZR05543I CA Primary

Addresses

Primary practice location

1901 3Rd Ave
Oakland, CA 94606-1853

Mailing address

1901 3Rd Ave
Oakland, CA 94606-1853
Phone (510) 834-9880

Other names 1

  • LAKESHORE CONV HOSPITAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gaffar Enterprises 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.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366431074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 3RD AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061853",
            "telephone_number": "510-834-9880",
            "fax_number": "510-763-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 3RD AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061853",
            "telephone_number": "510-834-9880",
            "fax_number": "510-763-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAFFAR ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "GAFFAR",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "510-834-9880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADOMINSTRATOR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "ZZR05543I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKESHORE CONV HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.