Organization Active NPI

Para & Palli Inc.

  • Skilled Nursing Facility
  • Los Banos, CA
National Provider Identifier
1477615797
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
040000202 Issued in CA
Legal business name
PARA & PALLI INC.
Practice address
931 Idaho Ave
Los Banos, CA 93635-3405
Phone
(209) 826-0790
Fax
(209) 826-3154
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Mr. Jospeh Pallivathucal
Title
General Manager
Phone
(209) 826-0790

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA2000X NHA00006564 CA
Skilled Nursing Facility 314000000X 040000202 CA Primary

Addresses

Primary practice location

931 Idaho Ave
Los Banos, CA 93635-3405

Mailing address

931 Idaho Ave
Los Banos, CA 93635-3405
Phone (209) 826-0790

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05028JMedicaidCA

Other names 1

  • los banos nursing & rehab Doing business as

National Provider Directory

National Provider Directory

Locations

931 Idaho Ave
Los Banos, CA 93635
Phone (209) 826-0790

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1477615797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 IDAHO AVE",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353405",
            "telephone_number": "209-826-0790",
            "fax_number": "209-826-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 IDAHO AVE",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353405",
            "telephone_number": "209-826-0790",
            "fax_number": "209-826-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARA & PALLI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "PALLIVATHUCAL",
        "authorized_official_first_name": "JOSPEH",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "209-826-0790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "NHA00006564",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "040000202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05028J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "los banos nursing & rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Banos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.