Air Force Village West, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AIR FORCE VILLAGE WEST, INC.

Doing business as

AFVW Health Center

Practice address

17050 Arnold Dr
Riverside, CA 92518-2855

Phone

(951) 697-2200

Fax

(951) 567-5386

NPI assigned

Jul 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Elliot Cameron

Title

Administrator

Phone

(951) 697-2201

Specialties & licenses 1

Addresses

Other names 1

• AFVW Health Center Doing business as

Locations

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1235137555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17050 ARNOLD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925182813",
            "telephone_number": "951-697-2200",
            "fax_number": "951-567-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17050 ARNOLD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925182855",
            "telephone_number": "951-697-2200",
            "fax_number": "951-567-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIR FORCE VILLAGE WEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-697-2201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFVW Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Riverside, CA
• Providers in Riverside, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.