Individual provider Active NPI

Vivian Maruri

  • Case Manager/Care Coordinator
  • West Covina, CA
National Provider Identifier
1407509748
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3340 E Whitebirch Dr
West Covina, CA 91791-3039
Phone
(626) 430-6864
NPI assigned
Jan 27, 2022
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

3340 E Whitebirch Dr
West Covina, CA 91791-3039

Mailing address

3033 E Valley Blvd SPC 39
West Covina, CA 91792-3325
Phone (909) 226-7550

Other practice location 1

1940 Baseline Rd
LA Verne, CA 91750-2148
Phone (909) 392-1344

Other practice location 2

1923 E Eckerman Ave
West Covina, CA 91791-1113
Phone (626) 332-4600

Other practice location 3

16226 Benwick St
LA Puente, CA 91744-1301
Phone (626) 917-0857

Other practice location 4

30 Country Wood Dr
Pomona, CA 91766-4818
Phone (909) 623-3400

Other practice location 5

670 W Baseline Rd
San Dimas, CA 91773-1492
Phone (909) 741-7124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Group Homes, Inc. Case Manager/Care Coordinator CurrentSince Feb 1, 2022 Accepting new patients
Heritage Group Homes, Inc. Case Manager/Care Coordinator Past Accepting new patients
Heritage Group Homes, Inc. Case Manager/Care Coordinator Past Accepting new patients
Heritage Group Homes, Inc. Case Manager/Care Coordinator Past Accepting new patients
Heritage Group Homes, Inc. PastSince Aug 6, 2019 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1407509748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 E VALLEY BLVD SPC 39",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923325",
            "telephone_number": "909-226-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 E WHITEBIRCH DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913039",
            "telephone_number": "626-430-6864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917502148",
            "country_code": "US",
            "telephone_number": "909-392-1344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1923 E Eckerman Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917911113",
            "country_code": "US",
            "telephone_number": "626-332-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16226 Benwick St",
            "address_purpose": "LOCATION",
            "city": "LA Puente",
            "state": "CA",
            "postal_code": "917441301",
            "country_code": "US",
            "telephone_number": "626-917-0857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Country Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917664818",
            "country_code": "US",
            "telephone_number": "909-623-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "670 W Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917731492",
            "country_code": "US",
            "telephone_number": "909-741-7124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARURI",
        "first_name": "VIVIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "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 Jan 27, 2022; 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.