J3Tfz, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

J3TFZ, INC.

Doing business as

Tampico Terrace Care Center

Practice address

130 Tampico
Walnut Creek, CA 94598-2948

Phone

(925) 933-7970

Fax

(925) 256-1676

NPI assigned

Jun 20, 2010

Last updated

Dec 3, 2015By 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

Mr. Brian Rivera

Title

Executive Director

Phone

(925) 949-3189

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tampico Terrace Care Center Doing business as

Locations

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

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1902127392",
    "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": "J3TFZ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-20",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-949-3189",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "056213",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampico Terrace Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Walnut Creek, CA
• Providers in Walnut Creek, 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 Dec 3, 2015; 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.