Organization Active NPI

Kalinga Care Home

  • Skilled Nursing Facility
  • Livermore, CA
National Provider Identifier
1669024121
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KALINGA CARE HOME
Practice address
1230 Vancouver Way
Livermore, CA 94550-6028
Phone
(925) 453-6128
Fax
(925) 453-6109
NPI assigned
Jul 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Ms. Bernadet Viray Guevarra, RN, FNP
Title
Administrator
Phone
(650) 576-0836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1230 Vancouver Way
Livermore, CA 94550-6028

Mailing address

1230 Vancouver Way
Livermore, CA 94550-6028
Phone (925) 453-6128

Other identifiers 2

IdentifierTypeStateIssuer
1669024121MedicaidCA
5550005935OtherCACLHF LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Livermore Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1669024121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 VANCOUVER WAY",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506028",
            "telephone_number": "925-453-6128",
            "fax_number": "925-453-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 VANCOUVER WAY",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506028",
            "telephone_number": "925-453-6128",
            "fax_number": "925-453-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALINGA CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2023-12-20",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "GUEVARRA",
        "authorized_official_first_name": "BERNADET",
        "authorized_official_middle_name": "VIRAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-576-0836",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, FNP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669024121",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLHF LICENSE",
            "identifier": "5550005935",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Livermore",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1230 Vancouver Way",
            "city": "Livermore",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945506028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.