Kimberly Care Center Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KIMBERLY CARE CENTER INC.

Doing business as

Santa Maria Care Center

Practice address

820 W Cook St
Santa Maria, CA 93458-5414

Phone

(805) 925-8877

Fax

(805) 349-8371

NPI assigned

Aug 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Walter M Matjasich

Title

President

Phone

(801) 466-0966

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Santa Maria Care Center Doing business as

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881696474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3094 S STATE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841153834",
            "telephone_number": "801-466-0966",
            "fax_number": "801-466-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W COOK ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934585414",
            "telephone_number": "805-925-8877",
            "fax_number": "805-349-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATJASICH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-466-0966",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05563G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Maria Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Han Soo Kim, M.D.
• Jaehee Kim, L. AC.
• Kevin Kim, MA; PPS
• Kevin T. Kim, M.D.
• Scott Kim, DDS
• Claudia Kindell-Vandermolen
• Kindredcare Therapeutics, LLC
• Brandon King, MD
• Gabriel King, PT
• Hilde O King, RN BS

• Skilled Nursing Facility in Santa Maria, CA
• Providers in Santa Maria, 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 Aug 22, 2020; 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.