Rav Premera Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RAV PREMERA CARE

Practice address

864 N Ford Ave
Fullerton, CA 92832-1261

Phone

(949) 394-8708

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Marian Mejia

Title

Managing Member

Phone

(949) 394-8708

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1356929442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 N FORD AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321261",
            "telephone_number": "949-394-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 N FORD AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321261",
            "telephone_number": "949-394-8708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17072 Saga Dr",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "928863628",
            "country_code": "US",
            "telephone_number": "949-394-8708",
            "fax_number": "714-982-3348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAV PREMERA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "949-394-8708"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCLD RCFE",
            "identifier": "306005851",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marian@careagape.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "marian@careagape.com",
            "address_1": "864 N Ford Ave",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928321261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beverly Rasimas
• Maryam Rasouli
• Lathai Ratanavongsa
• Sophie Renee Ratcliff, RDN
• Ramesh Rathod, M.D.
• Marvin Arnold Rawitch, MD
• James Otis Ray, COUNSELOR
• Nancy Isabel Ray
• Silvia Rosemarie Ray, M.ED.
• Lydia Damaris Raya

• Assisted Living Facility in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.