Park Vista Post Acute LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PARK VISTA POST ACUTE LLC

Practice address

980 W 7TH St
San Jacinto, CA 92582-3814

Phone

(951) 654-9347

NPI assigned

May 24, 2019

Organization subpart

No

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

Authorized official

Name

Crystal Solorzano

Title

Manager

Phone

(626) 346-0300

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1669039699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W LEMON AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162809",
            "telephone_number": "626-658-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W 7TH ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925823814",
            "telephone_number": "951-654-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VISTA POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "SOLORZANO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-346-0300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "055598",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05598H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosslyn Michelle Palmer, DDR TRANSPORTATION
• Ian Palomo
• Swati Panse, MD
• Samantha Marie Pantoja
• Vani Parashette, M.D.
• Samuel Santiago Parra Romero, TPP
• Elizabeth Ashley Parra
• Pooja S Patel, RPH
• Path to Paradise Hospice Care
• Hannah Nadine Patino

• Skilled Nursing Facility in San Jacinto, CA
• Providers in San Jacinto, 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 May 24, 2019; 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.