Orange Blossom Villa, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ORANGE BLOSSOM VILLA, INC

Practice address

827 River St
Fillmore, CA 93015-1818

Phone

(805) 524-7979

Fax

(805) 524-7182

NPI assigned

Oct 28, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ananias Eduardo Gonzalez

Title

President/Ceo

Phone

(805) 524-7979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184614281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 RIVER ST",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151818",
            "telephone_number": "805-524-7979",
            "fax_number": "805-524-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 RIVER ST",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151818",
            "telephone_number": "805-524-7979",
            "fax_number": "805-524-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE BLOSSOM VILLA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ANANIAS",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "805-524-7979"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susana Morales, PHARMD
• Natasha Christina Mulneix, LVN
• Jonathan Nguyen, DDS
• David Norgaard, D.C.
• Obv at Fillmore, Inc (Priority Healthcare Management)
• Diana Michelle Ortega, LCSW
• Anthony Edward Paz
• Pdap of Ventura County, Inc.
• Norma Nmi Perez-Sandford
• Mark Dougless Pratt, D.D.S.

• Assisted Living Facility in Fillmore, CA
• Providers in Fillmore, CA by specialty
• Assisted Living Facility in California

• 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.