WEST SACRAMENTO NURSING AND REHABILITATION CENTER
NPI 1104316413
Skilled Nursing Facility in West Sacramento, CA

Active since May 11, 2018CLIA 05D2181017 · Waiver
751 ELM STREET, WEST SACRAMENTO, CA 95605(530) 902-4142 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2021, Oct 11, 2020, Jul 22, 2020 and 2 more (5 updates tracked since 2018).

About West Sacramento Nursing And Rehabilitation Center NPPES

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

WEST SACRAMENTO NURSING AND REHABILITATION CENTER (NPI 1104316413) is a healthcare organization registered as a skilled nursing facility in West Sacramento, California and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists David Manukyan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104316413
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWEST SACRAMENTO NURSING AND REHABILITATION CENTER
Location Address751 ELM STREETWest Sacramento, CA 95605
Mailing Address751 Elm StreetWest Sacramento, CA 95605 · (916) 572-0085 · Fax (916) 572-0333
Organization SubpartNo
Authorized OfficialDavid ManukyanAdministrator · (916) 572-0085
Enumeration DateMay 11, 2018
Last NPPES UpdateSeptember 13, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2021
NPI 1104316413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
751 ELM STREET, West Sacramento, CA 95605

Other Names 1

Doing Business AsWest Sacramento Nursing And Rehabilitation Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2181017

West Sacramento Nursing And Rehabilitation Center · West Sacramento, CA
Active · expires Mar 24, 2028
CLIA Number05D2181017
Laboratory TypeClhf
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorAlexander Chan MD
Laboratory Phone(916) 572-0085
Laboratory LocationWest Sacramento Nursing And Rehabilitation Center751 Elm Strret, West Sacramento, CA 95605
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 West Sacramento Nursing And Rehabilitation Center's NPI number?

The NPI number for West Sacramento Nursing And Rehabilitation Center is 1104316413. It was assigned to this organization in the NPPES registry on May 11, 2018.

Where is West Sacramento Nursing And Rehabilitation Center located?

West Sacramento Nursing And Rehabilitation Center is located at 751 Elm Street, West Sacramento, CA 95605. The listed phone number is (530) 902-4142.

What is West Sacramento Nursing And Rehabilitation Center's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does West Sacramento Nursing And Rehabilitation Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2181017) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Sacramento Nursing And Rehabilitation Center was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.