Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cccma

Organization Long Term Care Hospital · NPI 1174955587

Cccma is a Long Term Care Hospital in Millbrae, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

1149 Fernwood Dr
Millbrae, CA 94030-1011
Phone: (650) 302-5864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Hospital (primary) Taxonomy 282E00000X · Licence 22677 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 22677 (CA)

Record details

NPI number1174955587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ash Jain — Ceo · (510) 796-0222
NPI enumeratedAugust 7, 2013
Last updated in NPPESAugust 7, 2013
Mailing address27206 Calaroga Ave, Hayward, CA 94545-4300