ATRIA GOLDEN CREEK, INC (NPI# 1164726006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164726006 |
Entity Type | Organization |
Organization Name | ATRIA GOLDEN CREEK, INC |
Other Organization Name | GOLDEN CREEK |
Practice Address |
33 Creek Rd Irvine CA 92604-4791 |
Practice Telephone | 9497865665 |
Mailing Telephone | 9497865665 |
Enumeration Date | 2011-01-07 |
Last Update Date | 2011-01-07 |
Authorized Official Name | JOHN MOORE (CEO) |
Authorized Official Telephone | 5027797608 |
Is Organization Subpart | Y |
Parent Organization Name | ATRIA GOLDEN CREEK, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Golden Creek | Doing Business As Name - Organization |
Street Address |
33 CREEK RD |
City | IRVINE |
State | CA |
Zip Code | 92604-4791 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003898693 | Sohrab Rahbar | Dentist | 33 Creek Rd, Suite 170, Irvine, CA 92604-4791 | 2005-11-18 |
1053847947 | O. El Hillal Dmd, Ms Dental Corp | Dentist | 33 Creek Rd, Suite 280, Irvine, CA 92604-4791 | 2017-05-11 |
1093186371 | Ultimate Physical Medicine & Rehabilitation Apc | Physical Medicine & Rehabilitation | 33 Creek Rd, #260, Irvine, CA 92604-4791 | 2015-10-13 |
1750751202 | North Orange Physical Therapy Inc. | Clinic/Center | 33 Creek Rd, Irvine, CA 92604-4791 | 2015-09-28 |
1922477108 | Ray Tahmaseb Zamanian | Clinic/Center | 33 Creek Rd, Irvine, CA 92604-4791 | 2015-09-17 |
1922406594 | Sima K Soltani | Podiatrist | 33 Creek Rd, B200, Irvine, CA 92604-4791 | 2014-12-15 |
1881023257 | Ksb Gastroenterology | Internal Medicine | 33 Creek Rd, Suite 380, Irvine, CA 92604-4791 | 2013-11-06 |
1679914808 | Orange County Migraine & Headache Center | Family Medicine | 33 Creek Rd, 340, Irvine, CA 92604-4791 | 2013-07-16 |
1326391186 | Vimala T Reddy Md Inc | Family Medicine | 33 Creek Rd, Suite 140, Irvine, CA 92604-4791 | 2012-10-17 |
1548558554 | Diane Louise Schwarz | Nurse Practitioner | 33 Creek Rd, Bldg-a, Suite 190, Irvine, CA 92604-4791 | 2011-07-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
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Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
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1750748018 | Dupont Residential Care, Inc. | Assisted Living Facility | 17 Yorktown, Irvine, CA 92620-2677 | 2016-01-18 |
1407150287 | Atria Senior Living Group, Inc | Assisted Living Facility | 1 Witherspoon, Irvine, CA 92604-8637 | 2011-01-07 |
1134498280 | Newport Neurohospitalist Medical Group | Assisted Living Facility | 19191 Harvard Ave, Irvine, CA 92612-4670 | 2011-12-19 |
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1689273419 | Pacifica Slo LLC | Assisted Living Facility | 475 Marsh St, San Luis Obispo, CA 93401-6108 | 2020-10-22 |
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1619576451 | Pacifica Orange County LLC | Assisted Living Facility | 2619 Orange Ave, Costa Mesa, CA 92627-4630 | 2020-10-22 |
1720687551 | P San Leandro Lp | Assisted Living Facility | 348 W Juana Ave, San Leandro, CA 94577-3661 | 2020-10-22 |
1952900730 | Pacifica Daly LLC | Assisted Living Facility | 995 E Market St, Daly City, CA 94014-2168 | 2020-10-22 |
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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.