Millbrae Serra Sanitarium Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MILLBRAE SERRA SANITARIUM INC.

Practice address

150 Serra Ave
Millbrae, CA 94030-2629

Phone

(650) 697-7000

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Vince Muzzi

Title

Owner

Phone

(650) 697-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Millbrae Serra Convalescent Hospital Doing business as

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386632438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SERRA AVE",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302629",
            "telephone_number": "650-697-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SERRA AVE",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302629",
            "telephone_number": "650-697-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBRAE SERRA SANITARIUM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUZZI",
        "authorized_official_first_name": "VINCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-697-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR18147F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millbrae Serra Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Millbrae Assisted Living Center LLC
• Millbrae Assisted Living Home LLC
• Millbrae Care Center LLC
• Millbrae Harmony House, LLC
• Millbrae Manor, Inc
• Mosaic Psychotherapy, PC
• Raymond F Muller, L.AC.
• Mohamad Nasr
• Andrew CHI-Wei NG, MD
• Gabrielle Jade NG, RPH

• Skilled Nursing Facility in Millbrae, CA
• Providers in Millbrae, 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 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.