Organization Active NPI

San Jacinto Assisted Living, LLC

  • Assisted Living Facility
  • San Jacinto, CA
National Provider Identifier
1275448482
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SAN JACINTO ASSISTED LIVING, LLC
Practice address
397 E Main St
San Jacinto, CA 92583-4231
Phone
(855) 627-4775
Fax
(866) 627-4771
NPI assigned
Aug 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Mr. Erickson G Tumaliuan
Title
Managing Member
Phone
(951) 391-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

397 E Main St
San Jacinto, CA 92583-4231

Mailing address

397 E Main St
San Jacinto, CA 92583-4231
Phone (855) 627-4775

Other practice location 1

377 E Main St
San Jacinto, CA 92583-4231
Phone (855) 627-4775

Other practice location 2

350 S Alessandro Ave
San Jacinto, CA 92583-3524
Phone (855) 627-4775

National Provider Directory

National Provider Directory

Locations

397 E Main St
San Jacinto, CA 92583
Phone (310) 908-1087

NPI Registry JSON

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1275448482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 E MAIN ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834231",
            "telephone_number": "855-627-4775",
            "fax_number": "866-627-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 E MAIN ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834231",
            "telephone_number": "855-627-4775",
            "fax_number": "866-627-4771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 E MAIN ST",
            "address_purpose": "LOCATION",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834231",
            "country_code": "US",
            "telephone_number": "855-627-4775",
            "fax_number": "866-627-4771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 S Alessandro Ave",
            "address_purpose": "LOCATION",
            "city": "San Jacinto",
            "state": "CA",
            "postal_code": "925833524",
            "country_code": "US",
            "telephone_number": "855-627-4775",
            "fax_number": "866-627-4771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN JACINTO ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "TUMALIUAN",
        "authorized_official_first_name": "ERICKSON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "951-391-5040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.