Dycora Transitional Health - San Jose LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DYCORA TRANSITIONAL HEALTH - SAN JOSE LLC

Practice address

401 Ridge Vista Ave
San Jose, CA 95127-1501

Phone

(408) 923-7232

NPI assigned

Nov 28, 2016

Organization subpart

No

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

Authorized official

Name

Mary Hawkins

Title

Executive

Phone

(408) 923-7232

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1568905321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RIDGE VISTA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951271501",
            "telephone_number": "408-923-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RIDGE VISTA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951271501",
            "telephone_number": "408-923-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYCORA TRANSITIONAL HEALTH - SAN JOSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "408-923-7232"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elise Duzak
• David W Duzmal, O.D.
• Dennis Michael Dwyer, PHARM D.
• Hilary Dwyer, RN
• Terrence Raymond Dwyre, MD
• Bobbi Dykeman
• Dyno Living
• Ann Dyreng
• Michelle Dyslin
• Deena Strickland Dyson, LCSW

• Skilled Nursing Facility in San Jose, CA
• Providers in San Jose, 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 24, 2018; 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.