Active NPI
Jurado Enterprises
- Intellectual Disabilities Intermediate Care Facility
- Chino, CA
National Provider Identifier
1194878876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- JURADO ENTERPRISES
- Practice address
- 6206 Walnut Ave
Chino, CA 91710-2774 - Phone
- (909) 627-0422
- Fax
- (909) 627-7533
- NPI assigned
- Jan 18, 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
- Mr. Ricardo Jurado
- Title
- Admistrator
- Phone
- (909) 772-9158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | CA | Primary |
Addresses
Primary practice location
6206 Walnut Ave
Chino, CA 91710-2774
Mailing address
17870 Castleton St Ste 317
City of Industry, CA 91748-6716
Phone (626) 935-0606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC60842F | Other | CA | PROVIDER |
National Provider Directory
National Provider Directory- Tax ID family
- Jurado Enterprises
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Rowland Heights, CA
- NPI 1518010214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194878876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17870 CASTLETON ST STE 317",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917486716",
"telephone_number": "626-935-0606",
"fax_number": "626-935-0415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6206 WALNUT AVE",
"city": "CHINO",
"state": "CA",
"postal_code": "917102774",
"telephone_number": "909-627-0422",
"fax_number": "909-627-7533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JURADO ENTERPRISES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JURADO",
"authorized_official_first_name": "RICARDO",
"authorized_official_title_or_position": "ADMISTRATOR",
"authorized_official_telephone_number": "909-772-9158",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "LTC60842F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chino, 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.