Organization Active NPI

Bella Vista Operating Company Inc

  • Skilled Nursing Facility
  • Ontario, CA
National Provider Identifier
1043207384
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BELLA VISTA OPERATING COMPANY INC
Practice address
933 E Deodar St
Ontario, CA 91764-1309
Phone
(909) 985-2731
Fax
(909) 985-1414
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert Reiss
Title
Manager
Phone
(818) 368-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

933 E Deodar St
Ontario, CA 91764-1309

Mailing address

933 E Deodar St
Ontario, CA 91764-1309
Phone (818) 368-1862

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05693IMedicaidCA

Other names 1

  • Bella Vista Healthcare Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1043207384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 E DEODAR ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917641309",
            "telephone_number": "818-368-1862",
            "fax_number": "818-368-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 E DEODAR ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917641309",
            "telephone_number": "909-985-2731",
            "fax_number": "909-985-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA OPERATING COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "REISS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-368-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05693I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Vista Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.