Active NPI
Mountain View Child Care, Inc
- Pediatric Skilled Nursing Facility
- Loma Linda, CA
National Provider Identifier
1396873808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- Legal business name
- MOUNTAIN VIEW CHILD CARE, INC
- Practice address
- 1720 Mountain View Ave
Loma Linda, CA 92354-1727 - Phone
- (909) 796-6915
- Fax
- (909) 796-1285
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doug Padgett
- Title
- Ceo-President
- Phone
- (909) 796-6915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | CA | Primary |
Addresses
Primary practice location
1720 Mountain View Ave
Loma Linda, CA 92354-1727
Mailing address
1720 Mountain View Ave
Loma Linda, CA 92354-1727
Phone (909) 796-6915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55587F | Medicaid | CA |
Other names 1
- Totally Kids Specialty Healthcare
National Provider Directory
National Provider Directory- Tax ID family
- Mountain View Child Care Inc
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396873808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 MOUNTAIN VIEW AVE",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923541727",
"telephone_number": "909-796-6915",
"fax_number": "909-796-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 MOUNTAIN VIEW AVE",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923541727",
"telephone_number": "909-796-6915",
"fax_number": "909-796-1285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VIEW CHILD CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PADGETT",
"authorized_official_first_name": "DOUG",
"authorized_official_title_or_position": "CEO-PRESIDENT",
"authorized_official_telephone_number": "909-796-6915"
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55587F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Totally Kids Specialty Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Loma Linda, 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.