Organization Active NPI

Western Healthcare Management

  • Skilled Nursing Facility
  • Colton, CA
National Provider Identifier
1396718300
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
240000122 Issued in CA
Legal business name
WESTERN HEALTHCARE MANAGEMENT
Doing business as
Western Healthcare Center
Practice address
1700 E Washington St
Colton, CA 92324-4619
Phone
(909) 824-1530
Fax
(909) 825-9013
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
James B. Kilian
Title
Chief Financial Officer
Phone
(909) 796-2595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 240000122 CA Primary

Addresses

Primary practice location

1700 E Washington St
Colton, CA 92324-4619

Mailing address

PO Box 3000
Loma Linda, CA 92354-9000
Phone (909) 796-2595

Other identifiers 2

IdentifierTypeStateIssuer
240000122OtherCASTATE LICENSE NUMBER
ZZT06305HMedicaidCA

Other names 1

  • Western Healthcare Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1396718300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3000",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923549000",
            "telephone_number": "909-796-2595",
            "fax_number": "909-796-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244619",
            "telephone_number": "909-824-1530",
            "fax_number": "909-825-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN HEALTHCARE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "KILIAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-796-2595"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "240000122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "240000122",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06305H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.