Sierra Bonita Board and Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197608059 Issued in CA

Legal business name

SIERRA BONITA BOARD AND CARE INC

Practice address

542 N Vista St
Los Angeles, CA 90036-5743

Phone

(323) 658-8722

NPI assigned

Feb 5, 2015

Organization subpart

No

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

Authorized official

Name

Sabina RasulovNPI 1942613674

Title

Director

Phone

(323) 658-8722

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sabina Rasulov

  • Adult Care Home Facility
  • Los Angeles, CA
  • NPI 1942613674
  NPD (past) Authorized official

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1235520735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 N VISTA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365743",
            "telephone_number": "323-658-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 N VISTA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365743",
            "telephone_number": "323-658-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA BONITA BOARD AND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "RASULOV",
        "authorized_official_first_name": "SABINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-658-8722"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197608059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942613674",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Los Angeles, CA
• Providers in Los Angeles, 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 Feb 5, 2015; 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.