Carnelian Villas LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

CARNELIAN VILLAS LLC

Practice address

1773 S Carnelian St
Anaheim, CA 92802-2402

Phone

(818) 395-6037

Fax

(818) 301-0042

NPI assigned

Nov 4, 2019

Organization subpart

No

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

Authorized official

Name

Jing Daisy Struve

Title

Manager

Phone

(818) 395-6037

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1194369082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 MARIGOLD CIR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653778",
            "telephone_number": "818-395-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 S CARNELIAN ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022402",
            "telephone_number": "818-395-6037",
            "fax_number": "818-301-0042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17029 Romar St",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913251640",
            "country_code": "US",
            "telephone_number": "818-395-6037",
            "fax_number": "818-301-0042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARNELIAN VILLAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "STRUVE",
        "authorized_official_first_name": "JING",
        "authorized_official_middle_name": "DAISY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-395-6037"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Adriana Carmona
• Erika Carmona
• Jessica Carmona
• Vanessa Carmona
• Carnelian Villas Inc.
• Jasmin Carnelus
• Breanna Elyse Caro, PA-C
• Carol K. Yeung, D.D.S. Inc
• Autumn Nicole Carpenter
• Teresa M. Carpenter, APN

• Personal Care Attendant in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Personal Care Attendant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.