Clinton Village Convalescent Hospital
NPI 1154478360 · Skilled Nursing Facility · Oakland, CA
Clinton Village Convalescent Hospital is a Skilled Nursing Facility organization in Oakland, CA (NPI 1154478360).
Provider details
- NPI number
- 1154478360
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Fermer Lukban, Manager(510) 536-6512
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Protean Healthcare
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Clinton Village Convalescent Hospital's NPI number?
- Clinton Village Convalescent Hospital's National Provider Identifier (NPI) is 1154478360, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinton Village Convalescent Hospital?
- Clinton Village Convalescent Hospital is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Clinton Village Convalescent Hospital located?
- Clinton Village Convalescent Hospital's practice location on file with NPPES is 1833 10th Ave, Oakland, CA 94606-3023.
- What is Clinton Village Convalescent Hospital's phone number?
- The practice phone number listed in the NPPES registry for Clinton Village Convalescent Hospital is (510) 536-6512.
- Who is the authorized official for Clinton Village Convalescent Hospital?
- The authorized official listed on Clinton Village Convalescent Hospital's NPPES record is Fermer Lukban, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clinton Village Convalescent Hospital's NPI active?
- Yes — Clinton Village Convalescent Hospital's NPI (1154478360) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.