Active NPI
Phylene Ririe
- Nursing Facility/Intermediate Care Facility
- Brentwood, CA
National Provider Identifier
1497536791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Practice address
- 9671 Deer Valley Rd
Brentwood, CA 94513-4907 - Phone
- (925) 383-4810
- NPI assigned
- Oct 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
9671 Deer Valley Rd
Brentwood, CA 94513-4907
Mailing address
5129 Lone Tree Way
Antioch, CA 94531-8484
Phone (925) 383-4810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tranquility Incorporated | Current | Accepting new patients | |
| Norcal Care Centers, Inc | Current | Accepting new patients | |
| East Bay Health Care Support Services, Inc. | Current | Accepting new patients | |
| Positive & Vigilant Healthcare Inc | Current | Accepting new patients |
Locations
5129 Lone Tree Way
Antioch, CA 94531
Phone (925) 207-6926
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Antioch, CA
- NPI 1871379412
-
dba Antioch Convalescent Hospital
- Skilled Nursing Facility
- Antioch, CA
- NPI 1407924582
-
dba Alhambra Convalescent Hospital
- Skilled Nursing Facility
- Martinez, CA
- NPI 1720139355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1497536791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5129 LONE TREE WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318484",
"telephone_number": "925-383-4810",
"fax_number": "925-226-0812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9671 DEER VALLEY RD",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945134907",
"telephone_number": "925-383-4810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIRIE",
"first_name": "PHYLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.