Organization Active NPI

Liznaval,Inc

Doing business as Rodeo Gardens Adult Day Program

  • Adult Day Care Clinic/Center
  • Rodeo, CA
National Provider Identifier
1053746370
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
079200303 Issued in CA
Legal business name
LIZNAVAL,INC
Doing business as
Rodeo Gardens Adult Day Program
Practice address
200 Harris Ave
Rodeo, CA 94572-1037
Phone
(510) 620-4255
NPI assigned
Sep 5, 2013
Last updated
Sep 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Ms. Alicia Olaguer Naval
Title
Administrator
Phone
(510) 620-4255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 079200303 CA Primary

Addresses

Primary practice location

200 Harris Ave
Rodeo, CA 94572-1037

Mailing address

200 Harris Ave
Rodeo, CA 94572-1037
Phone (510) 620-4255

Other names 1

  • RODEO GARDENS ADULT DAY PROGRAM 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": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1053746370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HARRIS AVE",
            "city": "RODEO",
            "state": "CA",
            "postal_code": "945721037",
            "telephone_number": "510-620-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HARRIS AVE",
            "city": "RODEO",
            "state": "CA",
            "postal_code": "945721037",
            "telephone_number": "510-620-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZNAVAL,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "NAVAL",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "OLAGUER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-620-4255",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "079200303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RODEO GARDENS ADULT DAY PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rodeo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.