RDD Icf, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

220000350 Issued in CA

Legal business name

RDD ICF, INC.

Practice address

741 Ada St
San Mateo, CA 94401-3101

Phone

(650) 216-9455

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Deyra Tambot Sunga, RN

Title

Administrator

Phone

(650) 892-4572

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CRANE HOUSE Doing business as

Tax ID family

Crane House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• RDD Icf Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Foster City, CA
  • NPI 1922291665
  NPD tax ID

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1568697357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 EL CAMINO REAL STE C",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940614039",
            "telephone_number": "650-216-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 ADA ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013101",
            "telephone_number": "650-216-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDD ICF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "SUNGA",
        "authorized_official_first_name": "DEYRA",
        "authorized_official_middle_name": "TAMBOT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-892-4572",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "220000350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55G026",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRANE HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison M Ray
• Lisa Ann Raygosa
• Aki Chikka Raymer
• Raymond J Kelly, M.D. Inc
• RDD Icf Inc
• Dayna E Reader, MFT
• Younes Rebbaj, RD/LD
• Red Jade Acupuncture Clinic
• Red-White and Blue Charity
• Bailey Nicole Reed

• Intellectual Disabilities Intermediate Care Facility in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.