Athena Health Professional

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ATHENA HEALTH PROFESSIONAL

Practice address

4651 Formosa Way
Perris, CA 92571-5119

Phone

(213) 840-7660

NPI assigned

Aug 21, 2024

Last updated

Jan 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Danna Lyn Santiago

Title

Cfo

Phone

(213) 840-7660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1255164604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 E TANGO CIR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071206",
            "telephone_number": "213-840-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 FORMOSA WAY",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925715119",
            "telephone_number": "213-840-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA HEALTH PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "DANNA LYN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "213-840-7660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Perris, CA
• Providers in Perris, 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 Jan 9, 2025; 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.