Organization Active NPI

Trinity Sierra, Inc

  • Skilled Nursing Facility
  • Baldwin Park, CA
National Provider Identifier
1801982830
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Aug 21, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LTC06466HMedicaidCA

Other names 1

  • Sierra View Care Center Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.