San Brunoidence Opco, LLC
NPI 1205213105 · Skilled Nursing Facility · San Bruno, CA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
San Brunoidence Opco, LLC is a Skilled Nursing Facility organization in San Bruno, CA (NPI 1205213105).
Provider details
- NPI number
- 1205213105
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Mitchell, Secretary(385) 988-3319
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
11 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)
- Doing business as
- San Bruno Skilled Nursing
Registry dates
- Enumerated
- 2015-04-29
- Last updated
- 2024-08-20
- Certified
- 2024-08-20
Frequently asked questions
- What is San Brunoidence Opco, LLC's NPI number?
- San Brunoidence Opco, LLC's National Provider Identifier (NPI) is 1205213105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Brunoidence Opco, LLC?
- San Brunoidence Opco, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is San Brunoidence Opco, LLC located?
- San Brunoidence Opco, LLC's practice location on file with NPPES is 890 El Camino Real, San Bruno, CA 94066-3137.
- What is San Brunoidence Opco, LLC's phone number?
- The practice phone number listed in the NPPES registry for San Brunoidence Opco, LLC is (650) 583-7768.
- Does San Brunoidence Opco, LLC accept Medicare?
- San Brunoidence Opco, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for San Brunoidence Opco, LLC?
- The authorized official listed on San Brunoidence Opco, LLC's NPPES record is John Mitchell, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Brunoidence Opco, LLC's NPI active?
- Yes — San Brunoidence Opco, LLC's NPI (1205213105) is active in the NPPES registry as of the last update on 2024-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.