Philmar Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

920000031 Issued in CA

Legal business name

PHILMAR CARE, LLC

Doing business as

San Fernando Post Acute Hospital

Practice address

12260 Foothill Blvd
Sylmar, CA 91342-6001

Phone

(818) 899-9545

Fax

(818) 890-2142

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Marylynn Mahan

Title

Managing Partner

Phone

(909) 987-7735

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• San Fernando Post Acute Hospital Doing business as

Tax ID family

El Sereno Manor Inc2 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.

• El Sereno Manor, Inc

  dba San Fernando Post Acute Hospital

  • Skilled Nursing Facility
  • Sylmar, CA
  • NPI 1659627065
  NPD tax ID

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1942488671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12260 FOOTHILL BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426001",
            "telephone_number": "818-899-9545",
            "fax_number": "818-890-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12260 FOOTHILL BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426001",
            "telephone_number": "818-899-9545",
            "fax_number": "818-890-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILMAR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "MARYLYNN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "909-987-7735"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55814F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Fernando Post Acute Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annette Van Anh Pham, NP
• Phuong CHI T Pham, MD
• Steven Pham, DO
• Huy Phan
• Philmar Care LLC (San Fernando Post Acute Hospital)
• Stace Phipps-Zacharia, RN, NP
• Oliver Bernard Piltch, MD
• Krystal Isabela Pineda
• Steven Pineda, LCSW
• Rosie Pinedo

• Skilled Nursing Facility in Sylmar, CA
• Providers in Sylmar, 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 Oct 24, 2012; 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.