Active NPI
Hickory Pine Associates
- Assisted Living Facility
- Camarillo, CA
National Provider Identifier
1164544110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- HICKORY PINE ASSOCIATES
- Practice address
- 50 Oak St
Camarillo, CA 93010-7922 - Phone
- (805) 484-1115
- Fax
- (805) 484-9038
- NPI assigned
- Apr 3, 2007
- 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
- Mrs. Amy Louise Trinidad
- Title
- Exec Dir Operations
- Phone
- (805) 484-1115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | CA | Primary |
Addresses
Primary practice location
50 Oak St
Camarillo, CA 93010-7922
Mailing address
PO Box 3141
Camarillo, CA 93011-3141
Phone (805) 484-1115
Other names 1
- Hickory House
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1326068578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164544110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3141",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930113141",
"telephone_number": "805-484-1115",
"fax_number": "508-484-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 OAK ST",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930107922",
"telephone_number": "805-484-1115",
"fax_number": "805-484-9038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HICKORY PINE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TRINIDAD",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "EXEC DIR OPERATIONS",
"authorized_official_telephone_number": "805-484-1115",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hickory House",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.