Pink Coral Residence II

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PINK CORAL RESIDENCE II

Practice address

40343 15TH St W
Palmdale, CA 93551-3128

Phone

(661) 480-5985

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Rey Medel

Title

Co Owner

Phone

(213) 447-4802

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1417554726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40343 15TH ST W",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513128",
            "telephone_number": "661-480-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40343 15TH ST W",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513128",
            "telephone_number": "661-480-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK CORAL RESIDENCE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "MEDEL",
        "authorized_official_first_name": "REY",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "213-447-4802"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamlyn Pinchback, MSW
• Keitha Latrice Pinckney, REGISTERED NURSE
• Luisa Maria Pineda, M.D.
• Zoila Jacqueline Pineda
• Jonathan Pinedo, MD
• Jyothi Pinto, RD, CDE
• Nia Ellen Knighten Pitts
• Jody Pla
• Planned Parenthood Antelope Valley Clinic
• Linda Marie Plush, FNP

• Assisted Living Facility in Palmdale, CA
• Providers in Palmdale, 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 Oct 8, 2020; 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.