SOUTH BAY SUNSET PAVILION (NPI# 1356849061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356849061 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY SUNSET PAVILION |
| Practice Address |
1565 Gulf Ave Wilmington CA 90744-2011 |
| Practice Telephone | 3107295118 |
| Mailing Telephone | 3107295118 |
| Enumeration Date | 2018-01-28 |
| Last Update Date | 2018-01-28 |
| Authorized Official Name | RASMIA ROGONG (CEO) |
| Authorized Official Telephone | 3104624942 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
1565 GULF AVE |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1821573809 | Carolina Bay Healthcare Center of Wilmington, LLC | Skilled Nursing Facility | 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 | 2018-09-26 |
| 1043603830 | Ronza Fouch | Skilled Nursing Facility | 1035 Linhof Rd, Wilmington, OH 45177-2915 | 2015-03-18 |
| 1841697422 | Cornelia Nixon Davis, Inc. | Skilled Nursing Facility | 83 Cavalier Dr., 200, Wilmington, NC 28405-4444 | 2014-11-26 |
| 1255682522 | Wrightsville Health Holdings, LLC | Skilled Nursing Facility | 3800 Independence Boulevard, Wilmington, NC 28412-2599 | 2012-09-27 |
| 1194028118 | Lutheran Home - Wilmington, Inc. | Skilled Nursing Facility | 631 Junction Creek Drive, Wilmington, NC 28412-2296 | 2010-12-14 |
| 1942342662 | Greenville Retirement Community L.L.C. | Skilled Nursing Facility | 4031 Kennett Pike, Wilmington, DE 19807-2047 | 2007-02-12 |
| 1447314794 | Jha Wilmington Inc. | Skilled Nursing Facility | 801 N Broom St, Wilmington, DE 19806-4624 | 2006-12-21 |
| 1225190572 | Embassy Care Center | Skilled Nursing Facility | 555 W Kahler Rd, Wilmington, IL 60481-1527 | 2006-12-14 |
| 1740358050 | Fs Tenant Pool I Trust | Skilled Nursing Facility | 407 Foulk Rd, Wilmington, DE 19803-3809 | 2006-12-04 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 90744 |
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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.