Organization Active NPI

Ridgill Johnson Properties, Inc

  • Skilled Nursing Facility
  • Long Beach, CA
National Provider Identifier
1245422187
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000075 Issued in CA
Legal business name
RIDGILL JOHNSON PROPERTIES, INC
Practice address
3557 Atlantic Avenue
Suite 188
Long Beach, CA 90807
Phone
(310) 248-8405
Fax
(877) 750-3008
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Byron Johnson
Title
President
Phone
(310) 242-8405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 940000075 CA Primary

Addresses

Primary practice location

3557 Atlantic Avenue
Suite 188
Long Beach, CA 90807

Mailing address

3557 Atlantic Avenue
Suite 188
Long Beach, CA 90807
Phone (310) 248-8405

Other names 1

  • Avalon VIlla Care Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3557 Atlantic Ave
Ste 188
Long Beach, CA 90807

3557 Atlantic Ave
Ste 188
Long Beach, CA 90807
Phone (310) 248-8405

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1245422187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3557 ATLANTIC AVENUE",
            "address_2": "SUITE 188",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90807",
            "telephone_number": "310-248-8405",
            "fax_number": "877-750-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3557 ATLANTIC AVENUE",
            "address_2": "SUITE 188",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90807",
            "telephone_number": "310-248-8405",
            "fax_number": "877-750-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGILL JOHNSON PROPERTIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-242-8405"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon VIlla Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.