Nazareth Vista

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

220000010 Issued in CA

Legal business name

NAZARETH VISTA

Practice address

1041 Hill St
Belmont, CA 94002-2317

Phone

(650) 591-7181

Fax

(650) 591-1857

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Julie Mammad

Title

Administrator

Phone

(650) 591-7181

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Michael Bulkin, D.P.M.

  • Foot Surgery Podiatrist
  • Burlingame, CA
  • NPI 1316053127
  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1699194969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 HILL ST",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022317",
            "telephone_number": "650-591-7181",
            "fax_number": "650-591-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 HILL ST",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022317",
            "telephone_number": "650-591-7181",
            "fax_number": "650-591-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "MAMMAD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-591-7181"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "220000010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Jiang Dental Group Inc
• Paula D Nannizzi
• Nardo Holdings LLC (Belmont Healthcare Center)
• Shoshana Narva, LICSW
• Jean Naughton
• Princess Perez Neberba, LVN
• Lee Nelson, DDS
• Consuelo Guadalupe Nerio, ASW
• New Century Acupuncture
• My-Ngoc Dinh Nguyen

• Skilled Nursing Facility in Belmont, CA
• Providers in Belmont, 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 Apr 8, 2016; 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.