GHC of San Fran 180, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GHC OF SAN FRAN 180, LLC

Doing business as

City View Post Acute
Tunnell Center

Practice address

1359 Pine St
San Francisco, CA 94109-4807

Phone

(415) 673-8405

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Robyne Wellborn

Title

Is and Ar Training Manager

Phone

(760) 315-0984

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• City View Post Acute Doing business as
• Tunnell Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1487170890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUTTON CENTRE DR STE 400",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927078762",
            "telephone_number": "714-241-5600",
            "fax_number": "360-287-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 PINE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094807",
            "telephone_number": "415-673-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC OF SAN FRAN 180, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "WELLBORN",
        "authorized_official_first_name": "ROBYNE",
        "authorized_official_title_or_position": "IS AND AR TRAINING MANAGER",
        "authorized_official_telephone_number": "760-315-0984"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06203I",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "City View Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tunnell Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neda Ghassemi
• Sahib Ghatore
• Yara Ghazal
• Anum Ghazipura, LMFT
• Cyrus M Ghaznavi, MD
• GHC of San Fran 68, LLC
• Lemlem Tewolde Ghebremariam
• Jaela Ghee
• Cosmin Ion Gheorghe, MFT
• James Alan Ghere

• Skilled Nursing Facility in San Francisco, CA
• Providers in San Francisco, 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 Jun 3, 2024; 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.