Plaza Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060000168 Issued in CA

Legal business name

PLAZA HEALTHCARE CENTER, LLC

Doing business as

Country Villa Plaza Healthcare Center

Practice address

1209 Hemlock Way
Santa Ana, CA 92707-3609

Phone

(714) 546-1966

Fax

(714) 546-6719

NPI assigned

Feb 25, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Reissman

Title

Ceo

Phone

(310) 574-3733

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Country Villa Plaza Healthcare Center Doing business as

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1710227996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 HEMLOCK WAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073609",
            "telephone_number": "714-546-1966",
            "fax_number": "714-546-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 HEMLOCK WAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073609",
            "telephone_number": "714-546-1966",
            "fax_number": "714-546-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "REISSMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-574-3733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "060000168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05206K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Villa Plaza Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Plasencia, PTA
• Reina Platero, RPT
• Platinum Health Center
• Robert Plavajka
• Jamie Lee Plaxco, NP
• Plaza Medical Imaging
• Michal J Plechas, MD
• Eriq Paul Plechot, OD
• Eileen Moran Pliego
• Mateusz Ploszynski, LMFT, M.ED, LCPC

• Skilled Nursing Facility in Santa Ana, CA
• Providers in Santa Ana, 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 Feb 25, 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.

Verify at the official NPI Registry.