Active NPI
Trinity Sierra, Inc
- Skilled Nursing Facility
- Baldwin Park, CA
National Provider Identifier
1801982830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TRINITY SIERRA, INC
- Practice address
- 14318 Ohio St
Baldwin Park, CA 91706-2553 - Phone
- (626) 960-1971
- Fax
- (626) 960-0908
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randal Kleis
- Title
- President
- Phone
- (425) 820-9750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Primary |
Addresses
Primary practice location
14318 Ohio St
Baldwin Park, CA 91706-2553
Mailing address
14318 Ohio St
Baldwin Park, CA 91706-2553
Phone (626) 960-1971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC06466H | Medicaid | CA |
Other names 1
- Sierra View Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187654400000",
"number": "1801982830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14318 OHIO ST",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917062553",
"telephone_number": "626-960-1971",
"fax_number": "626-960-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14318 OHIO ST",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917062553",
"telephone_number": "626-960-1971",
"fax_number": "626-960-0908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY SIERRA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2007-08-21",
"status": "A",
"authorized_official_last_name": "KLEIS",
"authorized_official_first_name": "RANDAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-820-9750"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC06466H",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sierra View Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baldwin Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.