Norcal Care Centers, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

140000069 Issued in CA

Legal business name

NORCAL CARE CENTERS, INC

Practice address

1210 A St
Antioch, CA 94509-2327

Phone

(925) 757-8787

Fax

(925) 727-2314

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Phylene Sunga

Title

Administrator

Phone

(925) 757-8787

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Antioch Convalescent Hospital Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phylene Ririe

  • Nursing Facility/Intermediate Care Facility
  • Brentwood, CA
  • NPI 1497536791
  NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1407924582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 A ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092327",
            "telephone_number": "925-757-8787",
            "fax_number": "925-727-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 A ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092327",
            "telephone_number": "925-757-8787",
            "fax_number": "925-727-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCAL CARE CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "SUNGA",
        "authorized_official_first_name": "PHYLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "925-757-8787",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "140000069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06381J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antioch Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Lee Nissen, DC
• Noble O. Elcenko, D.C., Inc
• Noel TD Chiu MD a Medical Corporation
• Meagan A. Nolan, M.A.
• Roya Noorishad, MD
• Cade L Norde
• Cyncere Faith Norde
• Brianna Lynn Norris
• Sean Norris, PA-C
• Todd Andrew Norris

• Skilled Nursing Facility in Antioch, CA
• Providers in Antioch, 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 15, 2010; 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.