Organization Active NPI

A V Associates a California Limited Partnership

  • Skilled Nursing Facility
  • Redlands, CA
National Provider Identifier
1053423749
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
240000323 Issued in CA
Legal business name
A V ASSOCIATES A CALIFORNIA LIMITED PARTNERSHIP
Practice address
1875 Barton Rd
Redlands, CA 92373-5308
Phone
(909) 793-1382
Fax
(909) 798-6689
NPI assigned
Aug 31, 2006
Last updated
Aug 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Mr. Donald McDonald
Title
Administrator
Phone
(909) 793-1382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 240000323 CA Primary

Addresses

Primary practice location

1875 Barton Rd
Redlands, CA 92373-5308

Mailing address

1875 Barton Rd
Redlands, CA 92373-5308
Phone (909) 793-1382

Other identifiers 1

IdentifierTypeStateIssuer
LTC55379FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1053423749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 BARTON RD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735308",
            "telephone_number": "909-793-1382",
            "fax_number": "909-798-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 BARTON RD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735308",
            "telephone_number": "909-793-1382",
            "fax_number": "909-798-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A V ASSOCIATES A CALIFORNIA LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-793-1382",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "240000323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55379F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.