Active NPI
Sequoia Health Services
- Skilled Nursing Facility
- Redwood City, CA
National Provider Identifier
1689617342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 220000045
- Legal business name
- SEQUOIA HEALTH SERVICES
- Practice address
- 170 Alameda de Las Pulgas
Redwood City, CA 94062-2751 - Phone
- (650) 369-5811
- Fax
- (650) 367-5100
- NPI assigned
- Jun 13, 2006
- Organization subpart
- Yes
- Parent organization
- SEQUOIA HEALTH SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gratia Barton
- Title
- VP Cfo
- Phone
- (650) 367-5837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 220000045 | CA | Primary |
Addresses
Primary practice location
170 Alameda de Las Pulgas
Redwood City, CA 94062-2751
Mailing address
3215 Prospect Park Dr
Rancho Cordova, CA 95670-6017
Phone (916) 861-1102
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC05030F | Medicaid | CA | |
| ZZZA4102Z | Other | CA | BLUE SHIELD |
| 02 | Other | KAISER |
Other names 1
- Sequoia Hospital
National Provider Directory
National Provider Directory- Part of
- Sequoia Hosp Physician
Locations
633 Veterans Blvd
Redwood City, CA 94063
Phone (650) 363-5658
2940 Whipple Ave
Redwood City, CA 94062
Phone (650) 216-8300
3215 Prospect Park Dr
Rncho Cordova, CA 95670
Phone (916) 631-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379894400000",
"number": "1689617342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 PROSPECT PARK DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706017",
"telephone_number": "916-861-1102",
"fax_number": "916-861-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 ALAMEDA DE LAS PULGAS",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940622751",
"telephone_number": "650-369-5811",
"fax_number": "650-367-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEQUOIA HEALTH SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SEQUOIA HEALTH SERVICES",
"enumeration_date": "2006-06-13",
"last_updated": "2013-09-23",
"status": "A",
"authorized_official_last_name": "BARTON",
"authorized_official_first_name": "GRATIA",
"authorized_official_title_or_position": "VP CFO",
"authorized_official_telephone_number": "650-367-5837"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "220000045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC05030F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZA4102Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "02",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sequoia Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.