South Pasadena Convalescent Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTH PASADENA CONVALESCENT INC.

Practice address

904 Mission St
S Pasadena, CA 91030-3144

Phone

(626) 799-9571

NPI assigned

Jul 12, 2007

Organization subpart

No

Name

Guy Reggev

Title

Administrator

Phone

(626) 799-9571

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2008.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1740489459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 MISSION ST",
            "city": "S PASADENA",
            "state": "CA",
            "postal_code": "910303144",
            "telephone_number": "626-799-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 MISSION ST",
            "city": "S PASADENA",
            "state": "CA",
            "postal_code": "910303144",
            "telephone_number": "626-799-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PASADENA CONVALESCENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "REGGEV",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-799-9571"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05931G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.