Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Clinton Village Convalescent Hospital

Organization Skilled Nursing Facility · NPI 1154478360

Clinton Village Convalescent Hospital is a Skilled Nursing Facility in Oakland, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

1833 10th Ave
Oakland, CA 94606-3023
Phone: (510) 536-6512
Fax: (510) 536-1450
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X (CA)

Record details

NPI number1154478360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fermer Lukban — Manager · (510) 536-6512
Other names Protean Healthcare
NPI enumeratedJanuary 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1833 10th Ave, Oakland, CA 94606-3023

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Oakland