GHC of Daly City 239, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GHC OF DALY CITY 239, LLC

Doing business as

St. Francis Convalescent Pavilion

Practice address

99 Escuela Dr
Daly City, CA 94015-4003

Phone

(650) 994-3200

Fax

(650) 994-5320

NPI assigned

Jan 2, 2008

Last updated

Aug 5, 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

Lois Mastrocola

Title

Chief Financial Officer

Phone

(650) 994-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Francis Convalescent Pavilion Doing business as

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1568647121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ESCUELA DR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154003",
            "telephone_number": "650-994-3200",
            "fax_number": "650-994-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 ESCUELA DR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154003",
            "telephone_number": "650-994-3200",
            "fax_number": "650-994-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC OF DALY CITY 239, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "MASTROCOLA",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "650-994-3200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06394G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Francis Convalescent Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen K Gerard, M.D.
• David C. Gershan, M.D.
• Leah Getaneh
• GHC of Daly City 102 (St. Francis Heights Convalescent Hospital)
• GHC of Daly City 102, LLC (St. Francis Heights Convalescent Hospital)
• Noah Giddens
• Philip Giddings IV, MD
• Angela Giertych, PT
• Alexander Giginyak, PTA
• Kellen Gilbert

• Skilled Nursing Facility in Daly City, CA
• Providers in Daly City, 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 Aug 5, 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.