Organization Active NPI

Celestial Garden Inc.

  • Assisted Living Facility
  • Anaheim, CA
National Provider Identifier
1326802877
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CELESTIAL GARDEN INC.
Practice address
429 S Shields Dr
Anaheim, CA 92804-2087
Phone
(949) 266-4403
NPI assigned
Feb 6, 2024
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Diane Nguyen
Title
Ceo
Phone
(949) 266-4403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

429 S Shields Dr
Anaheim, CA 92804-2087

Mailing address

429 S Shields Dr
Anaheim, CA 92804-2087
Phone (949) 266-4403

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1326802877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S SHIELDS DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928042087",
            "telephone_number": "949-266-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S SHIELDS DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928042087",
            "telephone_number": "949-266-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTIAL GARDEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-266-4403"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.