Organization Active NPI

Care Phoebe

  • Assisted Living Facility
  • Tustin, CA
National Provider Identifier
1225891526
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CARE PHOEBE
Practice address
14661 Brookline Way
Tustin, CA 92780-2517
Phone
(714) 368-4627
Fax
(714) 982-3348
NPI assigned
Jan 31, 2024
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Marian Mejia
Title
Managing Member
Phone
(949) 394-8708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

14661 Brookline Way
Tustin, CA 92780-2517

Mailing address

4931 Carthage St
Placentia, CA 92870-3004
Phone (949) 394-8708

Other identifiers 1

IdentifierTypeStateIssuer
306006304OtherCACDSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1225891526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 CARTHAGE ST",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703004",
            "telephone_number": "949-394-8708",
            "fax_number": "714-982-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14661 BROOKLINE WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802517",
            "telephone_number": "714-368-4627",
            "fax_number": "714-982-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PHOEBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "949-394-8708"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDSS",
            "identifier": "306006304",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.