FMSC San Rafael Operating Company LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

314000000 Issued in CA

Legal business name

FMSC SAN RAFAEL OPERATING COMPANY LP

Practice address

45 Professional Center Pkwy
San Rafael, CA 94903-2702

Phone

(415) 479-3610

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Saavedra

Title

Regional Financial Analyst

Phone

(707) 208-1940

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pineridge Care Center Doing business as

Locations

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1376515817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PROFESSIONAL CENTER PKWY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032702",
            "telephone_number": "415-479-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PROFESSIONAL CENTER PKWY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032702",
            "telephone_number": "415-479-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMSC SAN RAFAEL OPERATING COMPANY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "REGIONAL FINANCIAL ANALYST",
        "authorized_official_telephone_number": "707-208-1940",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "314000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05850M",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pineridge Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaux Eliot Flood, MSW
• Catherine Serrano Florendo
• Marta Lucia Flores
• Flow Medical Marin, a Medical Corporation
• Francesca Flynn
• Brent Folke
• Delinda J Fong, DDS
• Kristen E Fong, MFT
• Madeline Fong, DDS
• Peter Fong

• Skilled Nursing Facility in San Rafael, CA
• Providers in San Rafael, 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 Jun 20, 2014; 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.