| NPI | 1104000371 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-12-24 |
| Last Updated | 2013-09-09 |
| Authorized Official | Gratia Barton Chief Financial Officer Phone: 6503675837 |
| Mailing Address | 3215 Prospect Park Dr Rancho Cordova, CA 95670-6017 United States Phone: (916) 861-1102 | Fax: (916) 861-7707 📍 View Map |
| Primary Practice Address | 170 Alameda De Las Pulgas Redwood City, CA 94062-2751 United States Phone: (650) 369-5811 | Fax: (650) 367-5100 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 02 | Kaiser |
| MEDICAID | CA | LTC05030F | - |
| Other (non-Medicare) | - | ZZZA4102Z | Blue Shield CA |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 314000000X – Skilled Nursing Facility | CA | 220000045 |
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About NPI 1104000371
Dignity Health is an organization registered in the CMS NPPES NPI Registry with NPI number 1104000371. The primary specialty listed is Skilled Nursing Facility. The organization is located in Redwood City, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-12-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104000371?
NPI 1104000371 belongs to Dignity Health, a Skilled Nursing Facility in Redwood City, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104000371 active?
The current status of NPI 1104000371 in the NPPES registry is Active. The record was last updated on 2013-09-09.
What specialty is NPI 1104000371?
NPI 1104000371 is classified under the taxonomy Skilled Nursing Facility. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104000371?
You can verify NPI 1104000371 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104000371?
The primary practice address on file for NPI 1104000371 is 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104000371 issued?
NPI 1104000371 was first issued (enumerated) on 2007-12-24. The NPPES record was last updated on 2013-09-09.
Practice Location Map
Dignity Health is located at 170 Alameda De Las Pulgas, Redwood City, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Dignity Health. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104000371. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Skilled Nursing Facility | 220000045 | CA |