NPIMap

Organization Active NPI

Chuquimia's Enterprises Incorporated

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Riverside, CA
National Provider Identifier
1336565308
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
336408330 Issued in CA
Legal business name
CHUQUIMIA'S ENTERPRISES INCORPORATED
Practice address
16465 Pick PL
Riverside, CA 92504-5641
Phone
(951) 789-2948
NPI assigned
Mar 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Miss Lidia Olga Chuquimia
Title
President/Ceo
Phone
(951) 776-9094

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 336408330 CA Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 336408331 CA

Addresses

Primary practice location

16465 Pick PL
Riverside, CA 92504-5641

Mailing address

16465 Pick PL
Riverside, CA 92504-5641
Phone (951) 789-2948

Other identifiers 6

IdentifierTypeStateIssuer
90152422A37214MedicaidCA
90874633A85192MedicaidCA
95313448A15047MedicaidCA
90439088A95031MedicaidCA
91847614A05192MedicaidCA
92173381A85048MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1336565308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16465 PICK PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045641",
            "telephone_number": "951-789-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16465 PICK PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045641",
            "telephone_number": "951-789-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUQUIMIA'S ENTERPRISES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "CHUQUIMIA",
        "authorized_official_first_name": "LIDIA",
        "authorized_official_middle_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "951-776-9094",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "336408330",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "336408331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90152422A37214",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90874633A85192",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95313448A15047",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90439088A95031",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91847614A05192",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92173381A85048",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.