Organization Active NPI

Rbi Inc.

  • Assisted Living Facility
  • Costa Mesa, CA
National Provider Identifier
1154710473
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
306003586 Issued in CA
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

Updated by the provider on Jan 12, 2015

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.