Organization Active NPI

Paramount Meadows Nursing Center LP

  • Skilled Nursing Facility
  • Paramount, CA
National Provider Identifier
1669458790
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000022 Issued in CA
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

Updated by the provider on Jul 25, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZT06166JMedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0882065Paramount Meadows Nursing Center7039 Alondra Blvd, Paramount, CA 90723Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.