Citrus Villa Retirement Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

360910569 Issued in CA

Legal business name

CITRUS VILLA RETIREMENT CENTER

Practice address

9448 Citrus Ave
Fontana, CA 92335-5512

Phone

(909) 823-0631

NPI assigned

Aug 5, 2009

Organization subpart

No

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

Authorized official

Name

William Presnell

Title

Cfo

Phone

(714) 577-3880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1285865469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9448 CITRUS AVENUE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "909-823-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9448 CITRUS AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923355512",
            "telephone_number": "909-823-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS VILLA RETIREMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "PRESNELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-577-3880"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "360910569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Chuu, MD
• Giuliana Cilliani, PA-C
• Ha Sarreong Cillpame, DPT
• Iresha Linda Cioco, PMHNP
• Citrus Nursing Center
• Civillani D. Layos (3 R's Home Health)
• Stephanie Clark-Poveda, PA
• Loris E Clark
• Claudia Cortes DDS Inc
• Melissa R Claussen, DPM

• Assisted Living Facility in Fontana, CA
• Providers in Fontana, 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 Aug 5, 2009; 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.