Active NPI
Paramount Meadows Nursing Center LP
- Skilled Nursing Facility
- Paramount, CA
National Provider Identifier
1669458790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 940000022
- Legal business name
- PARAMOUNT MEADOWS NURSING CENTER LP
- Practice address
- 7039 Alondra Blvd
Paramount, CA 90723 - Phone
- (562) 531-0990
- Fax
- (562) 531-9568
- NPI assigned
- Dec 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob MM Graff
- Title
- P
- Phone
- (310) 286-3074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 940000022 | CA | Primary |
Addresses
Primary practice location
7039 Alondra Blvd
Paramount, CA 90723
Mailing address
7039 Alondra Blvd
Paramount, CA 90723-3925
Phone (562) 531-0990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT06166J | Medicaid | CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0882065 | Paramount Meadows Nursing Center | Certificate of waiver | Jan 26, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532476800000",
"number": "1669458790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7039 ALONDRA BLVD",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907233925",
"telephone_number": "562-531-0990",
"fax_number": "562-531-9568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7039 ALONDRA BLVD",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "90723",
"telephone_number": "562-531-0990",
"fax_number": "562-531-9568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAMOUNT MEADOWS NURSING CENTER LP",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-20",
"last_updated": "2018-07-25",
"status": "A",
"authorized_official_last_name": "GRAFF",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "MM",
"authorized_official_title_or_position": "P",
"authorized_official_telephone_number": "310-286-3074"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "940000022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT06166J",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paramount, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.