Mission Trails Healthcare LLC
NPI 1689077588ActiveOrganization· Skilled Nursing Facility· La Mesa, CA
Skilled Nursing Facility in La Mesa, California, registered in NPPES in October 2014. The authorized official on file is Soon Burnam, Treasurer. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1689077588 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 6, 2014 |
| Last updated in NPPES | Sep 7, 2023 |
| Certified by provider | Sep 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | CA |
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) |
|---|
Other Skilled Nursing Facility providers in La Mesa
- 1457345001
- 1912915760
- 1942213681
- 1235404674
- 1225028327
- 1003852666
- 1356345706
- 1801089537
- 1417930249
- 1518175231
- 1003528456
- 1598830556