MEDICARE: G.S. CALISTOGA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316912488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G.S. CALISTOGA, INC.

Provider Business Mailing Address
First Line	:	1715 WASHINGTON ST
Second Line	:
City	:	CALISTOGA
State	:	CA
Zip	:	94515-1505
Country	:	US
Telephone Number	:	707-942-6253
Fax Number	:	707-942-5241

Provider Business Practice Location Address
First Line	:	1715 WASHINGTON ST
Second Line	:
City	:	CALISTOGA
State	:	CA
Zip	:	94515-1505
Country	:	US
Telephone Number	:	707-942-6253
Fax Number	:	707-942-5241

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES R PREIMESBERGER
Credential	:	NHA
Telephone Number	:	707-942-6253

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1144171109 — DOREE FULLER
Practice Location Address:

4790 PETRIFIED FOREST RD
CALISTOGA, CA
94515-9579

Practice Phone: 707-291-4250
Practice Fax:

1700884996 — PROF. BRIAN C FENNEN LAC, QME
Practice Location Address:

1217 WASHINGTON ST
CALISTOGA, CA
94515-1439

Practice Phone: 707-942-9380
Practice Fax: 707-942-8242

1477553675 — GABRIELA BERMUDEZ MD
Practice Location Address:

911 WASHINGTON ST
CALISTOGA, CA
94515

Practice Phone: 707-254-1770
Practice Fax: 707-251-1779

1366427064 — ELIAS IGNACIO BANUELOS MD
Practice Location Address:

911 WASHINGTON ST
CALISTOGA, CA
94515-1433

Practice Phone: 707-709-2308
Practice Fax:

1710963400 — DR. ANDREW G ALEXANDER MD
Practice Location Address:

913 WASHINGTON ST
CALISTOGA, CA
94515-1433

Practice Phone: 707-942-6233
Practice Fax: 707-942-6382

1659342020 — JEAN A NEELEY OD
Practice Location Address:

1220 WASHINGTON ST
CALISTOGA, CA
94515-1450

Practice Phone: 707-942-4674
Practice Fax: 707-942-0745

Directions to “G.S. CALISTOGA, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.