1030 Warner Avenue I Opco, LLC
NPI 1508565987ActiveOrganization· Skilled Nursing Facility· Santa Ana, CA
Skilled Nursing Facility in Santa Ana, California, registered in NPPES in February 2023. The authorized official on file is Pamela D. Shaw, Svp Rcm. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1508565987 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 24, 2023 |
| Last updated in NPPES | Jul 29, 2024 |
| Certified by provider | Jul 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CA) |
|---|
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