# NORTHGATE POSTACUTE CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689053274
- **Authorized official:** MR. MANEESH BANSAL M.D. (CEO)
- **Authorized official phone:** (424) 349-7108

## Contact information

- **Practice address:** 40 PROFESSIONAL CENTER PARKWAY, SAN RAFAEL, CA 94903-2703
- **Practice address phone:** (415) 479-1230
- **Practice address fax:** (562) 457-5584
- **Mailing address:** 721 N EUCLID ST STE 200, ANAHEIM, CA 92801-4116
- **Mailing address phone:** (424) 349-7108
- **Mailing address fax:** (562) 457-5584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 010000374 | CA | — |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 05/28/2015
- **Last updated:** 12/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010000374 | LICENSE NUMBER | CA |
