Organization Active NPI

Hickory Pine Associates

  • Assisted Living Facility
  • Camarillo, CA
National Provider Identifier
1164544110
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

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": "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.

Verify at the official NPI Registry.