Organization Active NPI

Positive & Vigilant Healthcare Inc

  • Skilled Nursing Facility
  • Martinez, CA
National Provider Identifier
1720139355
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
POSITIVE & VIGILANT HEALTHCARE INC
Practice address
331 Ilene St
Martinez, CA 94553-2631
Phone
(925) 228-2020
Fax
(925) 228-8551
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Phylene Sunga
Title
Owner
Phone
(925) 383-4810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

331 Ilene St
Martinez, CA 94553-2631

Mailing address

331 Ilene St
Martinez, CA 94553-2631
Phone (925) 228-2020

Other identifiers 1

IdentifierTypeStateIssuer
LTC55292FMedicaidCA

Other names 1

  • Alhambra Convalescent Hospital Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1720139355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 ILENE ST",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945532631",
            "telephone_number": "925-228-2020",
            "fax_number": "925-228-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 ILENE ST",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945532631",
            "telephone_number": "925-228-2020",
            "fax_number": "925-228-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE & VIGILANT HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "SUNGA",
        "authorized_official_first_name": "PHYLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-383-4810"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55292F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alhambra Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinez, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.