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8520 Western Avenue Inc

NPI 1497742167ActiveOrganization· Skilled Nursing Facility· Buena Park, CA

Skilled Nursing Facility in Buena Park, California, registered in NPPES in September 2005. The authorized official on file is John Henry Sy, Vp Of Revenue Management. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1497742167
StatusActive
Entity typeOrganization
NPI issuedSep 28, 2005
Last updated in NPPESMay 28, 2026
Certified by providerMay 28, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X060000106CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (CA)

Medicare sources and data years

Other Skilled Nursing Facility providers in Buena Park

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