Riverbank Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030000081 Issued in CA

Legal business name

RIVERBANK REHABILITATION CENTER

Doing business as

Central Valley Post Acute

Practice address

2649 Topeka St
Riverbank, CA 95367

Phone

(209) 869-2568

NPI assigned

Apr 28, 2017

Organization subpart

No

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

Authorized official

Name

Tammy Jean Thompson

Title

VP Finance

Phone

(209) 248-7851

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Central Valley Post Acute Doing business as

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1750816534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 TOPEKA ST",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953672248",
            "telephone_number": "209-869-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 TOPEKA ST",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "95367",
            "telephone_number": "209-869-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBANK REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "209-248-7851"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "030000081",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "030000081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7648023",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8204741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Valley Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luis Rivera
• Marcanthony Rivera
• Riverbank Pharmacy Inc
• Riverbank Post Acute LLC
• Riverbank Primary Care Medical Clinic Inc.
• Riverbank Unified School District
• Diana Elena Roa Ramos
• Olivia Roberts
• Shannon Jenine Robertson
• Jimmiesha Robinson

• Skilled Nursing Facility in Riverbank, CA
• Providers in Riverbank, 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 Jan 28, 2020; 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.