Organization Active NPI

Pleasant Care Corporation

  • Skilled Nursing Facility
  • Corona, CA
National Provider Identifier
1649292863
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PLEASANT CARE CORPORATION
Practice address
1400 Circle City Dr
Corona, CA 92879-1642
Phone
(951) 735-0252
Fax
(951) 735-0751
NPI assigned
Jul 24, 2006
Organization subpart
Yes
Parent organization
PLEASANT CARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

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

Authorized official

Name
Joseph Padre
Title
Director of Reimbursement
Phone
(818) 248-9808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

1400 Circle City Dr
Corona, CA 92879-1642

Mailing address

2258 Foothill Blvd Ste 6
La Canada, CA 91011-1476
Phone (818) 248-9808

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05255IMedicaidCA

Other names 1

  • PLEASANT CARE CONVALESCENT CORONA Doing business as

National Provider Directory

National Provider Directory
Part of
Pleasant Care

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1649292863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 FOOTHILL BLVD STE 6",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111476",
            "telephone_number": "818-248-9808",
            "fax_number": "818-541-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CIRCLE CITY DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791642",
            "telephone_number": "951-735-0252",
            "fax_number": "951-735-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT CARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLEASANT CARE CORPORATION",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "PADRE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "818-248-9808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05255I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLEASANT CARE CONVALESCENT CORONA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; 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.