SSC NEWPORT BEACH OPERATING COMPANY LP (NPI# 1922128974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922128974 |
| Entity Type | Organization |
| Organization Name | SSC NEWPORT BEACH OPERATING COMPANY LP |
| Other Organization Name | FLAGSHIP HEALTHCARE CENTER |
| Practice Address |
466 Flagship Rd Newport Beach CA 92663-3635 |
| Mailing Address |
5300 W Sam Houston Pkwy N Suite 100 Houston TX 77041-5161 |
| Practice Telephone | 9496428044 |
| Mailing Telephone | 8324676000 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2015-04-09 |
| Authorized Official Name | KELLE C SANTORO (SR DIRECTOR AR) |
| Authorized Official Telephone | 8324675728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 060000154 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PREVIOUS MEDICAID NUMBER | ZZT05121I | 01 |
| CA | ZZT05121J | 05 |
| Other Name | Type Code |
|---|---|
| Flagship Healthcare Center | Doing Business As Name - Organization |
| Street Address |
466 FLAGSHIP RD |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485586 | Lori Hokama | Physical Therapist | 466 Flagship Rd, Newport Beach, CA 92663-3635 | 2020-01-05 |
| 1164070157 | Teresa Mcdonald | Speech-Language Pathologist | 466 Flagship Rd, Newport Beach, CA 92663-3635 | 2019-09-03 |
| 1497314553 | Fardad Komaili | Physical Therapist | 466 Flagship Rd, Newport Beach, CA 92663-3635 | 2019-06-11 |
| 1235798778 | Kristy Anh Nguyen | Occupational Therapist | 466 Flagship Rd, Newport Beach, CA 92663-3635 | 2019-06-09 |
| 1538724463 | Gabriela Omidsalar | Speech-Language Pathologist | 466 Flagship Rd, Newport Beach, CA 92663-3635 | 2019-05-06 |
| 1801451935 | Cedric Dacquay | Physical Therapy Assistant | 466 Flagship Rd, Newport Beach, CA 92663-3635 | 2019-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| 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. |
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| 1336228881 | Park Superior Healthcare,llc | Skilled Nursing Facility | 1445 Superior Ave, Newport Beach, CA 92663-2707 | 2006-11-03 |
| 1942204318 | Ghc of Newport Beach, LLC | Skilled Nursing Facility | 1555 Superior Ave, Newport Beach, CA 92663-3628 | 2005-06-13 |
| 1720273576 | Norway Maple Holdings, LLC | Skilled Nursing Facility | 1445 Superior Ave, Newport Beach, CA 92663-6152 | 2007-09-13 |
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| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
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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.