Active NPI
Evelyn Tunco, ADMINISTRATOR, CNA
- Assisted Living Facility
- Vista, CA
National Provider Identifier
1043713092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 374602662
- Practice address
- 1777 Pinnacle CT
Vista, CA 92081-5480 - Phone
- (760) 536-9238
- NPI assigned
- Mar 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 374602662 | CA | Primary |
Addresses
Primary practice location
1777 Pinnacle CT
Vista, CA 92081-5480
Mailing address
1777 Pinnacle CT
Vista, CA 92081-5480
Phone (760) 536-9238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 374602662 | CA | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521158400000",
"number": "1043713092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 PINNACLE CT",
"city": "VISTA",
"state": "CA",
"postal_code": "920815480",
"telephone_number": "760-536-9238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 PINNACLE CT",
"city": "VISTA",
"state": "CA",
"postal_code": "920815480",
"telephone_number": "760-536-9238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNCO",
"first_name": "EVELYN",
"name_prefix": "Mrs.",
"credential": "ADMINISTRATOR, CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2018-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "374602662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.