WEST ANAHEIM EXTENDED CARE
NPI 1235235300
Skilled Nursing Facility in Anaheim, CA

Active since September 16, 2006CLIA 05D0860452 · Waiver
645 S BEACH BLVD, ANAHEIM, CA 92804(714) 821-1993(714) 821-8450 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Anaheim Extended Care NPPES

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

WEST ANAHEIM EXTENDED CARE (NPI 1235235300) is a healthcare organization registered as a skilled nursing facility in Anaheim, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Victoria Llamado, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1235235300
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWEST ANAHEIM EXTENDED CARE
Location Address645 S BEACH BLVDAnaheim, CA 92804-3102
Mailing Address645 S Beach BlvdAnaheim, CA 92804-3102 · (714) 821-1993 · Fax (714) 821-8450
Fax(714) 821-8450
Organization SubpartNo
Authorized OfficialVictoria LlamadoOffice Manager · (714) 821-1993
Enumeration DateSeptember 16, 2006
Last NPPES UpdateAugust 27, 2015
NPI 1235235300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 060000255
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.
645 S BEACH BLVD, Anaheim, CA 92804

Other Identifiers 2

MedicaidLTC55388GCA
Medicare PIN555388CA

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 05D0860452

West Anaheim Extended Care · Anaheim, CA
Active · expires Aug 31, 2026
CLIA Number05D0860452
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorYousef W. Ireifej MD
Laboratory Phone(714) 821-1993
Laboratory LocationWest Anaheim Extended Care645 S Beach Blvd, Anaheim, CA 92804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
645 S BEACH BLVD
ANAHEIM, CA 92804
Psychiatry & Neurology (Psychiatry)
645 S BEACH BLVD
ANAHEIM, CA 92804
Psychiatry & Neurology (Psychiatry)
645 S BEACH BLVD
ANAHEIM, CA 92804

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 Anaheim Extended Care's NPI number?

The NPI number for West Anaheim Extended Care is 1235235300. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is West Anaheim Extended Care located?

West Anaheim Extended Care is located at 645 S Beach Blvd, Anaheim, CA 92804. The listed phone number is (714) 821-1993.

What is West Anaheim Extended Care's specialty?

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

Does West Anaheim Extended Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0860452) is associated with this NPI, valid through August 31, 2026. 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 Anaheim Extended Care was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.