# J3TFZ, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tampico Terrace Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902127392
- **Authorized official:** MR. BRIAN RIVERA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (925) 949-3189

## Contact information

- **Practice address:** 130 TAMPICO, WALNUT CREEK, CA 94598-2948
- **Practice address phone:** (925) 933-7970
- **Practice address fax:** (925) 256-1676
- **Mailing address:** 130 TAMPICO, WALNUT CREEK, CA 94598-2948
- **Mailing address phone:** (925) 933-7970
- **Mailing address fax:** (925) 256-1676

## Taxonomy

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

## Other

- **Enumeration date:** 06/20/2010
- **Last updated:** 12/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 056213 | MEDICARE PTAN | CA |