VILLA RANCHO BERNARDO HEALTH CARE LLC (NPI# 1518063437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518063437 |
| Entity Type | Organization |
| Organization Name | VILLA RANCHO BERNARDO HEALTH CARE LLC |
| Other Organization Name | VILLA RANCHO BERNARDO CARE CENTER |
| Practice Address |
15720 Bernardo Center Drive San Diego CA 92127 |
| Mailing Address |
3050 Saturn Street Suite #201 Brea CA 92821-6278 |
| Practice Telephone | 6196729247 |
| Practice Fax Number | 8586729247 |
| Mailing Telephone | 7145773880 |
| Mailing Fax Number | 7145773895 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK A MORTENSEN (SR VP FINANCE) |
| Authorized Official Telephone | 7145773880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC55318J | 05 |
| Other Name | Type Code |
|---|---|
| Villa Rancho Bernardo Care Center | Doing Business As Name - Organization |
| Street Address |
15720 BERNARDO CENTER DRIVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800325 | Jacob New | Student in an Organized Health Care Education/Training Program | 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 | 2020-04-23 |
| 1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
| 1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
| 1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
| 1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
| 1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
| 1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
| 1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
| 1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
| 1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
| Find all providers in zip 92127 | ||||
| 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 |
|---|---|---|---|---|
| 1336503150 | Jennifer Nichole Dennison | Skilled Nursing Facility | 12400 High Bluff Dr Ste 100, San Diego, CA 92130-3077 | 2016-04-07 |
| 1619360120 | Judy Carol | Skilled Nursing Facility | 3561 Quince St, San Diego, CA 92104-4819 | 2015-03-07 |
| 1730578154 | Roxanne Ferrer | Skilled Nursing Facility | 8029 Calico St, San Diego, CA 92126 | 2015-01-22 |
| 1043609530 | Shipra Sethi | Skilled Nursing Facility | 10850 Sabre Hill Dr Unit 235, San Diego, CA 92128-4120 | 2015-01-21 |
| 1962816140 | Rehab Care | Skilled Nursing Facility | 7335 Park Village Rd, San Diego, CA 92129-4540 | 2014-06-17 |
| 1255609772 | Care With Dignity Healthcare | Skilled Nursing Facility | 9474 Chesapeake Dr, Suite 907, San Diego, CA 92123-1047 | 2011-12-12 |
| 1356584882 | Jenna Bre Marquez | Skilled Nursing Facility | 3373 Kearny Villa Ln, San Diego, CA 92123-1911 | 2009-04-14 |
| 1619193729 | Linda Vista Manor, Inc. | Skilled Nursing Facility | 7675 Family Cir, San Diego, CA 92111-5304 | 2007-04-17 |
| 1912028598 | Uvalde County Hospital Authority | Skilled Nursing Facility | 138 S Fm 1329, San Diego, TX 78384-3925 | 2007-04-02 |
| 1336236496 | Care With Dignity Healthcare, Inc. | Skilled Nursing Facility | 8060 Frost St, San Diego, CA 92123-2703 | 2006-10-09 |
| Find all providers in SAN DIEGO | ||||
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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.