{"npi":"1194835017","type":"NPI-2","status":"active","name":{"display":"Christian Retirement Center Of Northern California","other":[],"organization_name":"CHRISTIAN RETIREMENT CENTER OF NORTHERN CALIFORNIA","authorised_official":"Lovian Ekpenyong"},"specialty":{"primary_taxonomy":"314000000X","primary_taxonomy_description":"Skilled Nursing Facility","slug":"skilled-nursing-facility","schema_org_specialty":null,"all":[{"code":"314000000X","description":"Skilled Nursing Facility","primary":true,"state":"CA","license":"020000013"}]},"addresses":[{"purpose":"LOCATION","street_1":"22427 MONTGOMERY ST","city":"HAYWARD","state":"CA","postal_code":"945413945","country_code":"US","phone":"5105388300","fax":"5105388443"},{"purpose":"MAILING","street_1":"22427 MONTGOMERY ST","city":"HAYWARD","state":"CA","postal_code":"945413945","country_code":"US","phone":"5105388300","fax":"5105388443"}],"license":{"state":"CA","number":"020000013"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"ZZR06370F","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100421000580","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"CA","pac_id":"0244367324"}]},"enumeration_date":"2006-08-30","last_updated":"2024-08-15","_meta":{"source":"NPPES","snapshot_date":"2024-08-15","doc_url":"https://findmynpi.com/api"}}