Diyavilla, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

220000050 Issued in CA

Legal business name

DIYAVILLA, INC

Doing business as

Diyamonte Poste Acute Care Center

Practice address

33 Mateo Ave
Millbrae, CA 94030-2037

Phone

(650) 689-5784

Fax

(510) 991-0071

NPI assigned

Mar 27, 2014

Last updated

Mar 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trilochan Singh

Title

VP.Operations

Phone

(510) 468-1909

Specialties & licenses 1

Addresses

Other names 1

• DIYAMONTE POSTE ACUTE CARE CENTER Doing business as

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1477970416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W MONTE VISTA AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883620",
            "telephone_number": "707-449-3400",
            "fax_number": "707-450-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MATEO AVE",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302037",
            "telephone_number": "650-689-5784",
            "fax_number": "510-991-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIYAVILLA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "TRILOCHAN",
        "authorized_official_title_or_position": "VP.OPERATIONS",
        "authorized_official_telephone_number": "510-468-1909"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "220000050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIYAMONTE POSTE ACUTE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Millbrae, CA
• Providers in Millbrae, 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 Mar 27, 2014; 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.