NPIMap

Organization Active NPI

New Covenant Care of California, Inc.

  • Skilled Nursing Facility
  • Walnut Creek, CA
National Provider Identifier
1821163767
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
140000138 Issued in CA
Legal business name
NEW COVENANT CARE OF CALIFORNIA, INC.
Practice address
130 Tampico
Walnut Creek, CA 94598-2948
Phone
(925) 933-7970
Fax
(925) 256-1676
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Lawrence (Larry) Kreh
Title
Chief of Operations
Phone
(925) 937-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 140000138 CA Primary

Addresses

Primary practice location

130 Tampico
Walnut Creek, CA 94598-2948

Mailing address

130 Tampico
Walnut Creek, CA 94598-2948
Phone (925) 933-7970

Other identifiers 1

IdentifierTypeStateIssuer
ZZR06213HMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
New Covenant Care of Calif Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1821163767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TAMPICO",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982948",
            "telephone_number": "925-933-7970",
            "fax_number": "925-256-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TAMPICO",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982948",
            "telephone_number": "925-933-7970",
            "fax_number": "925-256-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW COVENANT CARE OF CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "KREH",
        "authorized_official_first_name": "LAWRENCE (LARRY)",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "925-937-7400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "140000138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06213H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.