Macarthur Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020000061 Issued in CA

Legal business name

MACARTHUR CARE CENTER LLC

Practice address

309 Macarthur Blvd
Oakland, CA 94610-3233

Phone

(510) 836-3777

Fax

(510) 836-0516

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Randal Kleis

Title

President

Phone

(425) 820-9750

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MacArthur Care Center Doing business as

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1629164686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103233",
            "telephone_number": "510-836-3777",
            "fax_number": "510-836-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103233",
            "telephone_number": "510-836-3777",
            "fax_number": "510-836-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACARTHUR CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "KLEIS",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-820-9750"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "020000061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06350M",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MacArthur Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanjanee Mabrey
• Michele Mabry Wilson
• David Tanue Mabullu
• Stephanie Mac, PHARM.D.
• Cedrick Mark Aquino Macanas
• Macarthur Gastroenterology Inc.
• Amanda Macartney
• Nicola (Nicky) Maccallum, MFT
• Camille Maccan
• Rachel Michelle Maccratic, J.D., M.S.W.

• 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 3, 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.