# RANCHO SAN ANTONIO RETIREMENT SERVICES, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Health Care Center at The Forum at Rancho San Antonio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598718082
- **Authorized official:** IVAN B GENDZEL M.D. (PRESIDENT)
- **Authorized official phone:** (650) 988-9300

## Contact information

- **Practice address:** 23600 VIA ESPLENDOR, CUPERTINO, CA 95014-6571
- **Practice address phone:** (650) 944-0200
- **Practice address fax:** (650) 903-5920
- **Mailing address:** 23600 VIA ESPLENDOR, CUPERTINO, CA 95014-6571
- **Mailing address phone:** (650) 944-0200
- **Mailing address fax:** (650) 903-5920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 220000444 | CA | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 11/09/2016