DR. VINCENT MALFITANO (NPI# 1154749471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154749471 |
| Entity Type | Individual |
| Full Name | DR. VINCENT MALFITANO |
| Practice Address |
3950 Lone Tree Way Antioch CA 94509-6271 |
| Practice Telephone | 9257559640 |
| Practice Fax Number | 9257064077 |
| Mailing Telephone | 9257559640 |
| Mailing Fax Number | 9257064077 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| Y | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| N | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities | ||
| N | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
3950 LONE TREE WAY |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-6271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699181115 | Cypress Meadows Assisted Living | Assisted Living Facility | 3950 Lone Tree Way, Antioch, CA 94509-6271 | 2014-07-03 |
| 1578983458 | Caring Transitions for Seniors LLC | Case Management | 3950 Lone Tree Way, Antioch, CA 94509-6271 | 2014-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425925 | Pacifica Newport Mesa LLC | Alzheimer Center (Dementia Center) | 2891 Bear St, Costa Mesa, CA 92626-4306 | 2020-10-22 |
| 1992304729 | Pacifica Riverside Sl Lp | Alzheimer Center (Dementia Center) | 6280 Clay St, Riverside, CA 92509-6005 | 2020-10-22 |
| 1235738071 | Pacifica Valley Crest Lp | Alzheimer Center (Dementia Center) | 18524 Corwin Rd, Apple Valley, CA 92307-2302 | 2020-10-22 |
| 1255930095 | Pacifica Senior Living Vacaville LLC | Alzheimer Center (Dementia Center) | 431 Nut Tree Rd, Vacaville, CA 95687-3508 | 2020-10-22 |
| 1689273401 | St Pauls Modesto Lp | Alzheimer Center (Dementia Center) | 2325 St Pauls Way, Modesto, CA 95355-3309 | 2020-10-22 |
| 1295332047 | Rvmur Operations Company | Alzheimer Center (Dementia Center) | 24271 Jackson Ave, Murrieta, CA 92562-1993 | 2020-10-05 |
| 1356980494 | Memory Spa, LLC | Alzheimer Center (Dementia Center) | 1950 Sunny Crest Dr Ste 1400, Fullerton, CA 92835-3642 | 2020-01-06 |
| 1851940308 | Vista Prado Inc | Alzheimer Center (Dementia Center) | 105 Power Dr, Vallejo, CA 94589-2529 | 2019-09-07 |
| 1821641507 | Ktre1, LLC | Alzheimer Center (Dementia Center) | 3219 Canon St, San Diego, CA 92106-2512 | 2019-07-22 |
| 1497229090 | Ktre3, LLC | Alzheimer Center (Dementia Center) | 7971 Culowee St, La Mesa, CA 91942-5509 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.