# WESTGATE PREMIER HEALTHCARE SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amberwood Gardens
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689662330
- **Authorized official:** MR. EDIL V. BASA NHA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (408) 253-7502

## Contact information

- **Practice address:** 1601 PETERSEN AVE, SAN JOSE, CA 95129-4844
- **Practice address phone:** (408) 253-7502
- **Practice address fax:** (408) 252-6034
- **Mailing address:** 1601 PETERSEN AVE, SAN JOSE, CA 95129-4844
- **Mailing address phone:** (408) 253-7502
- **Mailing address fax:** (408) 252-6034

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR05750H | — | CA |