# NAZARETH VISTA

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

## Provider details

- **NPI number:** 1699194969
- **Authorized official:** JULIE MAMMAD (ADMINISTRATOR)
- **Authorized official phone:** (650) 591-7181

## Contact information

- **Practice address:** 1041 HILL ST, BELMONT, CA 94002-2317
- **Practice address phone:** (650) 591-7181
- **Practice address fax:** (650) 591-1857
- **Mailing address:** 1041 HILL ST, BELMONT, CA 94002-2317
- **Mailing address phone:** (650) 591-7181
- **Mailing address fax:** (650) 591-1857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 220000010 | CA | Yes |

## Other

- **Enumeration date:** 04/15/2014
- **Last updated:** 04/08/2016