Organization Active NPI

Tito V Duran and Josefina D Duran

  • Adult Care Home Facility
  • Gardena, CA
National Provider Identifier
1073724993
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
960000990 Issued in CA
Legal business name
TITO V DURAN AND JOSEFINA D DURAN
Practice address
1117 W 164TH St
Gardena, CA 90247-4802
Phone
(310) 217-0437
Fax
(310) 217-0642
NPI assigned
May 24, 2007
Organization subpart
Yes
Parent organization
TITO V DURAN AND JOSEFINA D DURANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mrs. Josefina Dabu Duran
Title
Owner
Phone
(310) 803-7039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 960000990 CA Primary

Addresses

Primary practice location

1117 W 164TH St
Gardena, CA 90247-4802

Mailing address

1117 W 164TH St
Gardena, CA 90247-4802
Phone (310) 217-0437

Other identifiers 1

IdentifierTypeStateIssuer
LTC60786FOtherCAMEDICAL

Other names 1

  • Daniels Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tito V Duran and Josefina D Duran2 organizations share this tax ID, including this one
Part of
Tito V Duran and Josefina D Duran

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1073724993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 W 164TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474802",
            "telephone_number": "310-217-0437",
            "fax_number": "310-217-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 W 164TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474802",
            "telephone_number": "310-217-0437",
            "fax_number": "310-217-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITO V DURAN AND JOSEFINA D DURAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TITO V DURAN AND JOSEFINA D DURAN",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_middle_name": "DABU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-803-7039",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "960000990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "LTC60786F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniels Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.