SAN JUAN ICF
NPI 1083832752
Intermediate Care Facility, Intellectual Disabilities in Antioch, CA

Q: What is Antioch Icf Inc's NPI number?

The NPI number for Antioch Icf Inc is 1083832752. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is doing business as San Juan Icf.

Q: What is Antioch Icf Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Q: When was this NPI record last updated?

The NPPES record for Antioch Icf Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2007

3117 SAN JUAN CT, ANTIOCH, CA 94509(925) 778-4855(925) 978-9005 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About San Juan Icf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN JUAN ICF (NPI 1083832752) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Antioch, California and active in the NPI registry since April 2007. The organization lists Rosemarie Tambot Veridiano, President Administrator, as its authorized official.

NPPES Registry Identity

NPI1083832752

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameANTIOCH ICF INC

Location Address3117 SAN JUAN CTAntioch, CA 94509-5313

Mailing Address2893 El Camino Real, Suite CRedwood City, CA 94061-4001 · (650) 216-9960 · Fax (650) 216-9455

Phone(925) 778-4855

Fax(925) 978-9005

Organization SubpartNo

Authorized OfficialRosemarie Tambot VeridianoPresident Administrator · (650) 580-2983

Enumeration DateApril 20, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1083832752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

3117 SAN JUAN CT, Antioch, CA 94509

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Other Names 1

Doing Business AsSan Juan Icf

Other Identifiers 1

Other55G491CA · Long Term Care

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antioch Icf Inc's NPI number?

The NPI number for Antioch Icf Inc is 1083832752. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is doing business as San Juan Icf.

Where is Antioch Icf Inc located?

Antioch Icf Inc is located at 3117 San Juan Ct, Antioch, CA 94509. The listed phone number is (925) 778-4855.

What is Antioch Icf Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Antioch Icf Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.