Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Evergreen at Fullerton, L.L.C.

Skilled Nursing Facility in Fullerton, CA · enumerated 2006 · authorized official Dale Patterson, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104874239

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Evergreen at Fullerton, L.L.C.

Other name <Unavail>

Parent organization Empres California Healthcare, LLC

Practice address 2222 N Harbor Blvd, Fullerton, CA, 92835

Phone (714) 992-5701

Fax (714) 526-4884

Enumeration date May 4, 2006

Last updated in NPPES Jan 2, 2014

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 060000205 (CA) Primary

Authorized official

Name Dale Patterson

Title Manager

Phone (360) 892-6628

Other identifiers

Identifier	Type	State	Issuer
LTC55532F	Medicaid	CA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-01-02. Verify at npiregistry.cms.hhs.gov.

Where is Evergreen at Fullerton, L.L.C. located?

The practice location on file with NPPES is in Fullerton, CA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-02.