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

Evergreen at Fullerton, LLC

Organization Skilled Nursing Facility · NPI 1104874239

Evergreen at Fullerton, LLC is a Skilled Nursing Facility in Fullerton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2222 N Harbor Blvd
Fullerton, CA 92835-2605
Phone: (714) 992-5701
Fax: (714) 526-4884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 060000205 (CA)

Record details

NPI number1104874239
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEmpres California Healthcare, LLC
Authorized official Dale Patterson — Manager · (360) 892-6628
Other names Fullerton Post Acute Care
NPI enumeratedMay 4, 2006
Last updated in NPPESJanuary 2, 2014
Mailing address2222 N Harbor Blvd, Fullerton, CA 92835-2605

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