Danville Long Term Care Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

140000095 Issued in CA

Legal business name

DANVILLE LONG TERM CARE INC

Doing business as

Danville Rehabilitation

Practice address

336 Diablo Rd
Danville, CA 94526-3417

Phone

(925) 837-4566

NPI assigned

Dec 7, 2005

Last updated

Apr 5, 2024By 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

Marc Johnson

Title

Cfo

Phone

(949) 373-8373

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DANVILLE REHABILITATION Doing business as

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1568447068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 350",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917908",
            "telephone_number": "949-441-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 DIABLO RD",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263417",
            "telephone_number": "925-837-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE LONG TERM CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-373-8373"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "140000095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55376K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DANVILLE REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DANVILLE REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiara Curzi, LMFT
• Allison Dahling
• Racquel Marie Almendares Daliva
• Magdy Danial, MD
• Danville Dental Radiology (Steven W Lepley)
• Danville Neuropathy Center Inc
• Danville Optometric Eye Clinic (Danville Optometric Group)
• Danville Optometric Group, Inc.
• Danville Pediatric Dentistry and Orthodontics
• Danville Pharmacy Inc (Danville San Ramon Pharmacy)

• Skilled Nursing Facility in Danville, CA
• Providers in Danville, 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 Apr 5, 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.