Oasis Congregate Living, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

OASIS CONGREGATE LIVING, LLC

Practice address

1816 E Meced Ave
West Covina, CA 91791-3645

Phone

(626) 252-6555

NPI assigned

Nov 28, 2021

Last updated

Nov 28, 2021By 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

Imelda R. Julian, REGISTERED NURSE

Title

Owner/Administrator/Ceo

Phone

(909) 525-6757

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638057600000",
    "number": "1295492122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S. ROCK RIVER ROAD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91765",
            "telephone_number": "909-525-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 E MECED AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913645",
            "telephone_number": "626-252-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS CONGREGATE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A",
        "authorized_official_last_name": "JULIAN",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "909-525-6757",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abraham Nunez Tellez, LCSW
• Rashida Nyathera
• Meghan Colleen O'Dell
• Amanda O'Loughlin, DO
• Lauren Carol O'Neal, PA-C
• OB HB Barkhordar Dental, Inc. (Dentist of West Covina)
• Zaida Olivia Obeso, M.D.
• Liza Mae Espinosa Ocampo, FNP, FNP-BC, NP-C
• Claudia Ocegueda
• Clark Ochikubo, MD

• Nursing Facility/Intermediate Care Facility in West Covina, CA
• Providers in West Covina, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.