Active NPI
Para & Palli Inc.
- Skilled Nursing Facility
- Los Banos, CA
National Provider Identifier
1477615797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 040000202
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR05028J | Medicaid | CA |
Other names 1
- los banos nursing & rehab
National Provider Directory
National Provider DirectoryLocations
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.