Healthcare Provider Details

I. General information

NPI: 1831480250
Provider Name (Legal Business Name): ALPHA VISTA SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 10/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1290 KIFER RD STE 301
SUNNYVALE CA
94086-5322
US

IV. Provider business mailing address

1290 KIFER RD STE 301
SUNNYVALE CA
94086-5322
US

V. Phone/Fax

Practice location:
  • Phone: 408-331-2181
  • Fax:
Mailing address:
  • Phone: 408-331-2181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. PRADEESH THOMAS
Title or Position: CHEIF EXCECUTIVE OFFICER
Credential: CEO
Phone: 408-331-2181