Salem Lutheran Home Association of the Bay Cities

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020000442 Issued in CA

Legal business name

SALEM LUTHERAN HOME ASSOCIATION OF THE BAY CITIES

Practice address

2361 E 29TH St
Oakland, CA 94606-3511

Phone

(510) 534-3637

Fax

(510) 537-0851

NPI assigned

Oct 28, 2005

Organization subpart

No

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

Authorized official

Name

Jesse Jantzen

Title

Ceo

Phone

(510) 769-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Salem Lutheran Home Other name

Locations

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1609867746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 E 29TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946063511",
            "telephone_number": "510-534-3637",
            "fax_number": "510-537-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 E 29TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946063511",
            "telephone_number": "510-534-3637",
            "fax_number": "510-537-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM LUTHERAN HOME ASSOCIATION OF THE BAY CITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "JANTZEN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-769-2700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "020000442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55570F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Lutheran Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dunia Saleh
• Meena Saleh, PHD
• Mohamed Ahmed Saleh, PHARMD
• Sarah Saleh
• Andre Forest Salehi
• Elias Kenji Salem
• Lori Suzanne Salemi, RN
• Barbara F Saler, LCSW
• Christine Marie Salera, RN, FNP-BC
• Reiko Furuya Sales, RN

• Skilled Nursing Facility in Oakland, CA
• Providers in Oakland, 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 Jun 21, 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.