McArlson, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0200001 Issued in CA

Legal business name

MCARLSON, INC.

Doing business as

South Shore Convalescent Hospital

Practice address

625 Willow St
Alameda, CA 94501-5711

Phone

(510) 523-3772

Fax

(510) 523-9629

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Zenaida Cabato Rosete, R.N.

Title

Direct Owner

Phone

(510) 523-3772

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• South Shore Convalescent Hospital Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972642387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 WILLOW ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015711",
            "telephone_number": "510-523-3772",
            "fax_number": "510-523-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 WILLOW ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015711",
            "telephone_number": "510-523-3772",
            "fax_number": "510-523-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCARLSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSETE",
        "authorized_official_first_name": "ZENAIDA",
        "authorized_official_middle_name": "CABATO",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "510-523-3772",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "0200001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA ID",
            "identifier": "341-08035",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55359F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DEPT. LICENSE",
            "identifier": "0200001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Mayfield, BCBA
• Sean Alexander Mayo
• Mateo Mayorga
• Monique Alyssa Mayorga
• Barbara Ann McAlexander
• Christopher Maurice McBride
• Pamela J McBride, MD
• Jodi L. McCarthy, PPS-CREDENTIALED SCH
• Keosha McClendon-Johnson
• Aquzia Katheren McClendon

• Skilled Nursing Facility in Alameda, CA
• Providers in Alameda, 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 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.