1338 20th Street LLC
NPI 1649041195ActiveOrganization· Skilled Nursing Facility· Santa Monica, CA
Skilled Nursing Facility in Santa Monica, California, registered in NPPES in January 2024. The authorized official on file is Ezequiel Bercovich, Manager. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1649041195 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2024 |
| Last updated in NPPES | Jan 12, 2024 |
| Certified by provider | Jan 12, 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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