Institute on Aging - Southern California LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INSTITUTE ON AGING - SOUTHERN CALIFORNIA LLC

Practice address

3200 E Guasti Rd Ste 173
Ontario, CA 91761-8660

Phone

(415) 823-6215

NPI assigned

Jan 24, 2018

Last updated

Nov 3, 2023By 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

Mrs. Roxana R Blades

Title

Chief Financial and Admin Officer

Phone

(415) 750-4101

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1316445414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183212",
            "telephone_number": "415-750-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 E GUASTI RD STE 173",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618660",
            "telephone_number": "415-823-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE ON AGING - SOUTHERN CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "BLADES",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF FINANCIAL AND ADMIN OFFICER",
        "authorized_official_telephone_number": "415-750-4101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285906164",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316445414",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942418884",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114132941",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629251772",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497964647",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inland Christian Home, Inc.
• Inland Empire Spinal Decompression Centers (Inland Valley Spinal Decompression Centers)
• Inland Metro Medical Group, Inc
• Innovative Medical Transport Services
• Innovative Translation, LLC
• Integrity Wound Care, PC
• Integrity Wound Services, Inc.
• Alexandra Interiano-Orozco, DNP FNP-C
• Jason Iraheta
• Irene M Justin DDS Inc

• Case Management Agency in Ontario, CA
• Providers in Ontario, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.