El Monte Convalescent Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EL MONTE CONVALESCENT HOSPITAL

Practice address

4096 Easy St.
El Monte, CA 91731-1094

Phone

(626) 442-1500

Fax

(626) 228-0193

NPI assigned

May 31, 2005

Last updated

Jan 30, 2008By 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. Jesse Telles

Title

Administrator

Phone

(626) 442-1500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1972506327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4096 EASY ST.",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311094",
            "telephone_number": "626-442-1500",
            "fax_number": "626-228-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4096 EASY ST.",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311094",
            "telephone_number": "626-442-1500",
            "fax_number": "626-228-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MONTE CONVALESCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "TELLES",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-442-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05202G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylen Eguchi, RN
• Joshua Daniel Ehlers
• El Monte City School District
• El Monte City Shool District
• El Monte Clinica Medica General Medical Center, Inc
• El Monte Dental Esthetics and Xray Imaging Inc
• El Monte Family Medical Group
• El Monte Healthcare Center, LLC (Penn Mar Healthcare Center)
• El Monte Healthcare Center, LLC (El Monte Healthcare Center)
• El Monte Latino Medical Group Inc. (El Monte Centro Medico Familiar)

• Skilled Nursing Facility in El Monte, CA
• Providers in El Monte, 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 Jan 30, 2008; 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.