Trinity Oakland, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TRINITY OAKLAND, INC

Practice address

3541 Puente Ave
Baldwin Park, CA 91706-5534

Phone

(626) 962-1043

Fax

(626) 337-2142

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Randy Kleis

Title

President

Phone

(425) 820-9750

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rose Convalescent Hospital Doing business as

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1467548461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 PUENTE AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065534",
            "telephone_number": "626-962-1043",
            "fax_number": "626-337-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 PUENTE AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065534",
            "telephone_number": "626-962-1043",
            "fax_number": "626-337-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY OAKLAND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "KLEIS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-820-9750"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18512H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Tran, MD
• Ricky Tran
• Tin Huu Tran, MD
• Tony M Tran, D.P.T.
• Tran Ngoc Tran
• Trinity Sierra, Inc
• Annie A Truong, DPM
• Wilson Truong
• Barbara Bailey Tsai, N.P.
• Veronica Chiu Tsang, RRT

• Skilled Nursing Facility in Baldwin Park, CA
• Providers in Baldwin Park, 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 21, 2007; 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.