WESTGATE PREMIER HEALTHCARE SERVICES, INC.


Address: 1601 Petersen Ave, San Jose, CA 95129-4844
Phone: 4082537502

WESTGATE PREMIER HEALTHCARE SERVICES, INC. (NPI# 1689662330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689662330
Entity Type Organization
Organization Name WESTGATE PREMIER HEALTHCARE SERVICES, INC.
Other Organization Name AMBERWOOD GARDENS
Practice Address 1601 Petersen Ave
San Jose
CA 95129-4844
Practice Telephone 4082537502
Practice Fax Number 4082526034
Mailing Telephone 4082537502
Mailing Fax Number 4082526034
Enumeration Date 2005-10-06
Last Update Date 2020-08-22
Authorized Official Name MR. EDIL V. BASA (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4082537502
Authorized Official Credential NHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility CA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA ZZR05750H 05

Other Provider/Organization Names

Other Name Type Code
Amberwood Gardens Doing Business As Name - Organization

Office Location

Street Address 1601 PETERSEN AVE
City SAN JOSE
State CA
Zip Code 95129-4844

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801445481 Glacier Bay Holdings LLC Skilled Nursing Facility 1601 Petersen Ave, San Jose, CA 95129-4844 2019-09-06
1326604158 Diane Tran Occupational Therapist 1601 Petersen Ave, San Jose, CA 95129-4844 2019-05-16
1780158683 Jemilyn M Ancheta Speech-Language Pathologist 1601 Petersen Ave, San Jose, CA 95129-4844 2019-01-15
1053517284 Robert Orme Respiratory Therapist, Registered 1601 Petersen Ave, San Jose, CA 95129-4844 2007-06-25
1699989418 Anh Thu Ngo Physical Therapist 1601 Petersen Ave, San Jose, CA 95129-4844 2007-05-10
1447463369 Alice Chang Yin Physical Therapist 1601 Petersen Ave, San Jose, CA 95129-4844 2007-05-07
1053390435 Ai-hua Liang Occupational Therapist 1601 Petersen Ave, San Jose, CA 95129-4844 2006-01-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528535176 Sunlife Acupuncture Health Center Inc. Acupuncturist 6172 Bollinger Rd., San Jose, CA 95129 2018-10-31
1710472642 Shen Zhang Acupuncturist 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 2018-06-23
1023531217 Rachana Vyas Dds Inc Clinic/Center 1002 S Deanza Blvd, #d, San Jose, CA 95129 2017-07-20
1477908119 Emily O. Perrotta Marriage & Family Therapist 1745 Saratoga Ave #204, San Jose, CA 95129 2016-05-02
1306214325 Amanda Montgomery Psychologist 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 2015-09-08
1891065686 Bobbie Edwards Behavioral Analyst 1479 Saratoga Ave, San Jose, CA 95129 2012-01-10
1659640753 Gail Elizabeth Nabarrete Social Worker 780 Saratoga Ave, S310, San Jose, CA 95129 2011-12-19
1891063574 Elizabeth Duell Dentist 4635 Piper Drive, San Jose, CA 95129 2011-12-08
1033486519 Stephanie Truvonne Hawkins Family Medicine 9292 De Anza Blvd, Suite 101, San Jose, CA 95129 2011-11-28
1568607828 Irina Vaynshteyn Dentist 1888 Saratoga Ave Ste 102, San Jose, CA 95129 2008-12-15
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073633020 Ssc San Jose Operating Company Lp Skilled Nursing Facility 340 Northlake Dr, San Jose, CA 95117-1251 2007-03-30
1609915727 Sj Facility Inc Skilled Nursing Facility 75 N 13th St, San Jose, CA 95112-3439 2007-02-05
1083788079 Better Care Inc Skilled Nursing Facility 1267 Meridian Ave, San Jose, CA 95125 2006-11-20
1811097694 Bellerose Convalescent Hospital Skilled Nursing Facility 100 Bellerose Dr, San Jose, CA 95128-1701 2006-09-22
1134140072 Snf Properties, Inc Skilled Nursing Facility 180 N Jackson Ave, San Jose, CA 95116-1907 2006-07-23
1720024391 Hawthorne Holdings, LLC Skilled Nursing Facility 1990 Fruitdale Ave, San Jose, CA 95128-2709 2006-06-21
1902852411 Beverly Health and Rehabilitation Services, Inc. Skilled Nursing Facility 401 Ridge Vista Ave, San Jose, CA 95127-1501 2006-05-26
1720032329 Casavina Foundation Corp Skilled Nursing Facility 2501 Alvin Ave, San Jose, CA 95121-1660 2006-05-19
1902879471 Grancare LLC Skilled Nursing Facility 2065 Forest Ave, San Jose, CA 95128-4807 2006-02-07
1548232184 Grancare LLC Skilled Nursing Facility 2065 Los Gatos Almaden Rd, San Jose, CA 95124-5417 2006-02-07
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Competitor

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City SAN JOSE
Zip Code 95129

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Dataset Information

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.

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