Active NPI
Pleasant View Convalescent Hospital, Inc.
- Skilled Nursing Facility
- Cupertino, CA
National Provider Identifier
1922010842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PLEASANT VIEW CONVALESCENT HOSPITAL, INC.
- Practice address
- 22590 Voss Ave
Cupertino, CA 95014-2627 - Phone
- (408) 253-9034
- Fax
- (408) 255-9148
- NPI assigned
- Aug 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jack Edward Easterday
- Title
- President
- Phone
- (510) 899-7999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Primary |
Addresses
Primary practice location
22590 Voss Ave
Cupertino, CA 95014-2627
Mailing address
22590 Voss Ave
Cupertino, CA 95014-2627
Phone (408) 253-9034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR05407H | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922010842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22590 VOSS AVE",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142627",
"telephone_number": "408-253-9034",
"fax_number": "408-255-9148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22590 VOSS AVE",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142627",
"telephone_number": "408-253-9034",
"fax_number": "408-255-9148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT VIEW CONVALESCENT HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EASTERDAY",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-899-7999"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZR05407H",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cupertino, CA
Sources for this page
- 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.