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3067 Orange Avenue LLC

NPI 1568457299ActiveOrganization· Skilled Nursing Facility· Anaheim, CA

Skilled Nursing Facility in Anaheim, California, registered in NPPES in September 2005. The authorized official on file is Caroline L. Boyer, Director Of Patient Accounting. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1568457299
StatusActive
Entity typeOrganization
NPI issuedSep 19, 2005
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X—CA

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

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