Active NPI
Rbi Inc.
- Assisted Living Facility
- Costa Mesa, CA
National Provider Identifier
1154710473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 306003586
- Legal business name
- RBI INC.
- Practice address
- 1047 Cheyenne St
Costa Mesa, CA 92626-2860 - Phone
- (714) 662-0546
- Fax
- (714) 617-5121
- NPI assigned
- Jan 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roberto Carlos Bolanos
- Title
- Licensee & Administrator
- Phone
- (714) 662-0546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 306003586 | CA | Primary |
Addresses
Primary practice location
1047 Cheyenne St
Costa Mesa, CA 92626-2860
Mailing address
1047 Cheyenne St
Costa Mesa, CA 92626-2860
Phone (714) 662-0546
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421020800000",
"number": "1154710473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 CHEYENNE ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926262860",
"telephone_number": "714-662-0546",
"fax_number": "714-617-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1047 CHEYENNE ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926262860",
"telephone_number": "714-662-0546",
"fax_number": "714-617-5121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RBI INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-12",
"last_updated": "2015-01-12",
"status": "A",
"authorized_official_last_name": "BOLANOS",
"authorized_official_first_name": "ROBERTO",
"authorized_official_middle_name": "CARLOS",
"authorized_official_title_or_position": "LICENSEE & ADMINISTRATOR",
"authorized_official_telephone_number": "714-662-0546",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "306003586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.