Del Rio Sanitarium, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940000052 Issued in CA

Legal business name

DEL RIO SANITARIUM, INC

Doing business as

Del Rio Convalescent Center

Practice address

7002 E Gage Ave
Bell Gardens, CA 90201-2014

Phone

(562) 927-6586

Fax

(562) 928-5097

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Robert Villaluz

Title

Administrator

Phone

(562) 927-6586

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Del Rio Convalescent Center Doing business as

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1871581835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 E GAGE AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902012014",
            "telephone_number": "562-927-6586",
            "fax_number": "562-928-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 E GAGE AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902012014",
            "telephone_number": "562-927-6586",
            "fax_number": "562-928-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL RIO SANITARIUM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "VILLALUZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-927-6586"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSHPD",
            "identifier": "206190234",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18078H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Del Rio Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Bell Gardens, CA
• Providers in Bell Gardens, 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 Mar 8, 2016; 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.