Pico de Loro, Incorporated

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PICO DE LORO, INCORPORATED

Practice address

620 North Perris Boulevard
Perris, CA 92571

Phone

(951) 943-8081

Fax

(951) 943-8044

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Vivien Fabello Rillo

Title

Vice-President

Phone

(951) 675-7633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1376199422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16807 NANDINA AVENUE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925048703",
            "telephone_number": "951-675-7633",
            "fax_number": "951-943-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NORTH PERRIS BOULEVARD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "92571",
            "telephone_number": "951-943-8081",
            "fax_number": "951-943-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICO DE LORO, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "RILLO",
        "authorized_official_first_name": "VIVIEN",
        "authorized_official_middle_name": "FABELLO",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "951-675-7633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Perris, CA
• Providers in Perris, 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 Aug 14, 2019; 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.