Millbrae Skilled Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MILLBRAE SKILLED CARE LLC

Doing business as

Millbrae Skilled Care

Practice address

5000 Executive Pkwy
Ste 150
San Ramon, CA 94583-4210

Phone

(925) 855-0881

Fax

(925) 855-9297

NPI assigned

Jul 2, 2015

Last updated

Jul 2, 2015By 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

James R Preimesberger

Title

Manager

Phone

(925) 855-0881

Specialties & licenses 1

Addresses

Other names 1

• Millbrae Skilled Care Doing business as

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1598148983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 COTTLE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233625",
            "telephone_number": "408-226-0300",
            "fax_number": "408-226-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 EXECUTIVE PKWY",
            "address_2": "STE 150",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834210",
            "telephone_number": "925-855-0881",
            "fax_number": "925-855-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBRAE SKILLED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "PREIMESBERGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "925-855-0881"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millbrae Skilled Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tatyana O Mikerina
• Ronald Miklebost, D.C.
• Nahal Erfan Milani, DMD
• Aiste Miliauskaite
• Sheryl Coloma Militar, MD, MS, FAAP
• Hailey Miller
• Julisa Miller
• Maryann Crawford Miller, OTR/L
• Sheri Jane Miller
• Nathan Milliken, CPHT

• Skilled Nursing Facility in San Ramon, CA
• Providers in San Ramon, 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 Jul 2, 2015; 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.