Genesis

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2408 Issued in CA

Legal business name

GENESIS

Practice address

1313 Orange Ave
Santa Ana, CA 92707-1323

Phone

(714) 913-5597

NPI assigned

Jan 27, 2015

Last updated

Jan 27, 2015By 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

Sara Araceli Calderon

Title

Cota

Phone

(714) 913-5597

Specialties & licenses 1

Addresses

Other names 1

• Hallmark Former legal business name

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1518357763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 ORANGE AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927071323",
            "telephone_number": "714-913-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 ORANGE AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927071323",
            "telephone_number": "714-913-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ARACELI",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "714-913-5597"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "2408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hallmark",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Symone Betty Gelay
• Carole Gelker, PHD
• Alexandra Lindsay Geltman
• Nabil S Gemayel
• Nancy Gemayel, PSY.D
• Genesis Ambulatory Surgery Center Inc
• Genoa Healthcare LLC
• Gentle Butterfly Phlebotomy Services LLC
• Geoffery Odega (Joy Medical Supplies)
• Kendall Nicole Georgatsos, ACSW

• Skilled Nursing Facility in Santa Ana, CA
• Providers in Santa Ana, 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 Jan 27, 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.