Active NPI
San Jacinto Assisted Living, LLC
- Assisted Living Facility
- San Jacinto, CA
National Provider Identifier
1275448482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.