Organization Active NPI

Pleasant View Convalescent Hospital, Inc.

  • Skilled Nursing Facility
  • Cupertino, CA
National Provider Identifier
1922010842
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZR05407HMedicaidCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.