Active NPI
Nightingale Nursing LLC
- Nursing Care Agency
- San Ramon, CA
National Provider Identifier
1992398135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- NIGHTINGALE NURSING LLC
- Practice address
- 711 Pradera Way
San Ramon, CA 94583-5344 - Phone
- (925) 913-9499
- NPI assigned
- Feb 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Ann Davis, RN OWNER
- Title
- Ceo
- Phone
- (925) 783-4337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
711 Pradera Way
San Ramon, CA 94583-5344
Mailing address
711 Pradera Way
San Ramon, CA 94583-5344
Phone (925) 913-9949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210219002577 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2365857521 | Practice locations: San Ramon, CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613606400000",
"number": "1992398135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 PRADERA WAY",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945835344",
"telephone_number": "925-913-9949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 PRADERA WAY",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945835344",
"telephone_number": "925-913-9499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIGHTINGALE NURSING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-18",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "MARY ANN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "925-783-4337",
"authorized_official_credential": "RN OWNER"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.