PINERIDGE CARE CENTER
NPI 1376515817
Skilled Nursing Facility in San Rafael, CA

Active since February 07, 2006CLIA 05D0896255 · Waiver
45 PROFESSIONAL CENTER PKWY, SAN RAFAEL, CA 94903(415) 479-3610 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pineridge Care Center NPPES

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

PINERIDGE CARE CENTER (NPI 1376515817) is a healthcare organization registered as a skilled nursing facility in San Rafael, California and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Andrea Saavedra, Regional Financial Analyst, as its authorized official.

NPPES Registry Identity

NPI1376515817
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFMSC SAN RAFAEL OPERATING COMPANY LP
Location Address45 PROFESSIONAL CENTER PKWYSan Rafael, CA 94903-2702
Mailing Address45 Professional Center PkwySan Rafael, CA 94903-2702 · (415) 479-3610
Organization SubpartNo
Authorized OfficialAndrea SaavedraRegional Financial Analyst · (707) 208-1940
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJune 20, 2014
NPI 1376515817 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 · 314000000
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.
45 PROFESSIONAL CENTER PKWY, San Rafael, CA 94903

Other Names 1

Doing Business AsPineridge Care Center

Other Identifiers 3

MedicaidZZR05850MCA
Medicare PIN05-5850CA
Medicare OSCAR/certification055850CA

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 05D0896255

Pine Ridge Care Center · San Rafael, CA
Active · expires Jan 3, 2027
CLIA Number05D0896255
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorColin Hamlin
Laboratory Phone(415) 479-3610
Laboratory LocationPine Ridge Care Center45 Professional Center Parkway, San Rafael, CA 94903
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Physical Therapist
45 PROFESSIONAL CENTER PKWY
SAN RAFAEL, CA 94903
Skilled Nursing Facility
45 PROFESSIONAL CENTER PKWY
SAN RAFAEL, CA 94903

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 Fmsc San Rafael Operating Company LP's NPI number?

The NPI number for Fmsc San Rafael Operating Company LP is 1376515817. It was assigned to this organization in the NPPES registry on February 7, 2006. The provider is doing business as Pineridge Care Center.

Where is Fmsc San Rafael Operating Company LP located?

Fmsc San Rafael Operating Company LP is located at 45 Professional Center Pkwy, San Rafael, CA 94903. The listed phone number is (415) 479-3610.

What is Fmsc San Rafael Operating Company LP's specialty?

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

Does Fmsc San Rafael Operating Company LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0896255) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fmsc San Rafael Operating Company LP was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.