Organization Active NPI

Cressida Care

  • Skilled Nursing Facility
  • Antioch, CA
National Provider Identifier
1811425960
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CRESSIDA CARE
Doing business as
Cressida Care
Practice address
3460 Wren CT
Antioch, CA 94509-6455
Phone
(510) 612-0808
NPI assigned
Jun 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Authorized official

Name
Mr. Mike Nubla
Title
Ceo / President
Phone
(510) 612-0808

Specialties & licenses 1

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

Addresses

Primary practice location

3460 Wren CT
Antioch, CA 94509-6455

Mailing address

5248 Oakridge Dr
Fairfield, CA 94534-6767

Other names 1

  • Cressida Care 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": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496275200000",
    "number": "1811425960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5248 OAKRIDGE DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 WREN CT",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096455",
            "telephone_number": "510-612-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESSIDA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A",
        "authorized_official_last_name": "NUBLA",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "510-612-0808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cressida Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.