Organization
NORTHGATE POSTACUTE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANEESH BANSAL M.D. (CEO)
(424) 349-7108
Entity
Organization
Contact information
Practice address
40 PROFESSIONAL CENTER PARKWAY, SAN RAFAEL, CA 94903-2703
(415) 479-1230
(562) 457-5584
Mailing address
721 N EUCLID ST STE 200, ANAHEIM, CA 92801-4116
(424) 349-7108
(562) 457-5584
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
010000374
CA
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010000374
LICENSE NUMBER
CA
Enumeration date
05/28/2015
Last updated
12/24/2025
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