Woodland Skilled Nursing Facility, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030000003 Issued in CA

Legal business name

WOODLAND SKILLED NURSING FACILITY, INC.

Doing business as

Woodland Nursing and Rehabilitation

Practice address

678 3Rd St
Woodland, CA 95695-4034

Phone

(530) 662-9643

NPI assigned

Dec 7, 2005

Last updated

Apr 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc Johnson

Title

Cfo

Phone

(949) 373-8373

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WOODLAND NURSING AND REHABILITATION Doing business as

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1841275344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 350",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917908",
            "telephone_number": "949-441-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 3RD ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954034",
            "telephone_number": "530-662-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND SKILLED NURSING FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-373-8373"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "030000003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06109J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODLAND NURSING AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOODLAND NURSING AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Man Lung Wu, AGPCNP-BC
• PO-Hui Michael Wu, M.D.

• Skilled Nursing Facility in Woodland, CA
• Providers in Woodland, 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 Apr 5, 2024; 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.