Organization Active NPI

Pittsburg Care Center Inc

  • Skilled Nursing Facility
  • Pittsburg, CA
National Provider Identifier
1922110378
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
48118723 Issued in CA
Legal business name
PITTSBURG CARE CENTER INC
Practice address
535 School St
Pittsburg, CA 94565-3937
Phone
(925) 432-3831
NPI assigned
Aug 31, 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
Alba Tiller
Title
President
Phone
(925) 808-6540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 48118723 CA Primary

Addresses

Primary practice location

535 School St
Pittsburg, CA 94565-3937

Mailing address

1355 Willow Way
Concord, CA 94520-5723
Phone (925) 808-6544

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05677JMedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0901695Pittsburg Care Center535 School Street, Pittsburg, CA 94565Certificate of waiverJun 1, 2027

National Provider Directory

National Provider Directory

Locations

1355 Willow Way
Concord, CA 94520

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922110378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 WILLOW WAY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205723",
            "telephone_number": "925-808-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SCHOOL ST",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945653937",
            "telephone_number": "925-432-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURG CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "ALBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-808-6540"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "48118723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05677J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.