NPI: 1689053274 · SAN RAFAEL, CA 94903 · Skilled Nursing Facility · NPI assigned 05/28/2015
| Authorized Official | BANSAL, MANEESH (CEO) |
| NPI Enumeration Date | 05/28/2015 |
Other providers sharing the same authorized official: BANSAL, MANEESH
| Provider | City | State | Total Paid |
|---|---|---|---|
| HOSPICE OF ST JOHN INC | BURBANK | CA | $269K |
| MERVAT S. BAKHOUM, D.D.S. | LOS ANGELES | CA | $70K |
| RIVERSIDE POSTACUTE CARE LLC | RIVERSIDE | CA | $52K |
| ICONSULT HEALTHCARE, INC. | PARAMOUNT | CA | $5K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99304 | 13 | 13 | $5K |