NPIMap

Organization Active NPI

MJ Asset Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • West Covina, CA
National Provider Identifier
1336696046
Registry record updated Sep 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MJ ASSET SERVICES LLC
Practice address
1315 W Merced Ave
West Covina, CA 91790-3904
Phone
(626) 965-2922
NPI assigned
Sep 10, 2016
Last updated
Sep 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2016

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

Authorized official

Name
Olivia B Fajardo, R.N.
Title
Manager
Phone
(626) 965-2922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

1315 W Merced Ave
West Covina, CA 91790-3904

Mailing address

2009 Avenida del Canada
Rowland Heights, CA 91748-4173
Phone (626) 965-2922

National Provider Directory

National Provider Directory
Tax ID family
MJ Asset Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1473465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473465600000",
    "number": "1336696046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 AVENIDA DEL CANADA",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917484173",
            "telephone_number": "626-965-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 W MERCED AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903904",
            "telephone_number": "626-965-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ ASSET SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-10",
        "last_updated": "2016-09-10",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-965-2922",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2016; 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.