NPIMap

Organization Active NPI

Marinoak

  • Skilled Nursing Facility
  • Bakersfield, CA
National Provider Identifier
1891118444
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
120000162 Issued in CA
Legal business name
MARINOAK
Practice address
1611 Height St
Bakersfield, CA 93305-2840
Phone
(661) 872-2324
Fax
(661) 871-4661
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Mrs. Prema Philip Thekkek, RN,NHA
Title
Secretary/VP
Phone
(707) 330-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 120000162 CA Primary

Addresses

Primary practice location

1611 Height St
Bakersfield, CA 93305-2840

Mailing address

540 W Monte Vista Ave
Vacaville, CA 95688-3620
Phone (707) 449-3400

National Provider Directory

National Provider Directory
Tax ID family
Marinoak2 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": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1891118444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W MONTE VISTA AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883620",
            "telephone_number": "707-449-3400",
            "fax_number": "707-450-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 HEIGHT ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933052840",
            "telephone_number": "661-872-2324",
            "fax_number": "661-871-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINOAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "THEKKEK",
        "authorized_official_first_name": "PREMA",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "SECRETARY/VP",
        "authorized_official_telephone_number": "707-330-0000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "120000162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.