Nazareth Park Place Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

347004465 Issued in CA

Legal business name

NAZARETH PARK PLACE INC

Practice address

800 S B St
Suite 100
San Mateo, CA 94401-4271

Phone

(650) 347-9500

Fax

(650) 347-9400

NPI assigned

May 26, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Hanna Farid Hanhan, MS

Title

Cfo

Phone

(650) 347-9500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1578882866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 MORSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252136",
            "telephone_number": "916-482-7745",
            "fax_number": "916-482-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S B ST",
            "address_2": "SUITE 100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014271",
            "telephone_number": "650-347-9500",
            "fax_number": "650-347-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH PARK PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "HANHAN",
        "authorized_official_first_name": "HANNA",
        "authorized_official_middle_name": "FARID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "650-347-9500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "347004465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF SOCIAL SERVICES",
            "identifier": "347004465",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanthini Natarajan, PHARM.D.
• Natural Way Health Center
• Daniel Nava
• Eduardo Christian Navarro Jr.
• Nazareth Dental
• Nazareth Plaza Dental Group
• Jeanette Garcia Neal
• Anoop Hanmanth Neboori, M.D.
• Ned M Grove MD a Professional
• Anna Nedelisky Zeman, PH.D.

• Assisted Living Facility in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.