Bancroft Convalescent Hospital, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BANCROFT CONVALESCENT HOSPITAL, INC.

Practice address

1475 Bancroft Ave
San Leandro, CA 94577-5105

Phone

(510) 483-1680

Fax

(510) 483-1683

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Boyd H Macdonald

Title

President

Phone

(510) 483-1680

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bancroft Convalescent Hospital Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467597534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 BANCROFT AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775105",
            "telephone_number": "510-483-1680",
            "fax_number": "510-483-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 BANCROFT AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775105",
            "telephone_number": "510-483-1680",
            "fax_number": "510-483-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANCROFT CONVALESCENT HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-483-1680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC05107F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bancroft Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Balseiro, MA
• Britt Bernadette Baltazar
• Michelle Nombre Baltazar, PT
• Rebecca Ann Banatao, DPT
• Keilani M Banawa, DMD
• Bancroft Dental Care
• Bancroft Health Group, Inc.
• Bancroft Pediatric Medical Group
• Alma Fernandez Bandong, PHYSICAL THERAPIST
• Abhijan Banerjee, M.D.

• Skilled Nursing Facility in San Leandro, CA
• Providers in San Leandro, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.