Mjsquared LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

MJSQUARED LLC

Practice address

920 Sacramento Ave
Spring Valley, CA 91977-4938

Phone

(619) 203-7333

NPI assigned

Nov 15, 2022

Organization subpart

No

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

Authorized official

Name

Josephine Dio

Title

Administrator

Phone

(323) 574-6122

Specialties & licenses 1

Addresses

Other names 1

• Carabelle Seniors Home Other name

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1447969894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 FERN VALLEY RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151560",
            "telephone_number": "619-370-8860",
            "fax_number": "619-934-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SACRAMENTO AVE",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919774938",
            "telephone_number": "619-203-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJSQUARED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "DIO",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-574-6122"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carabelle Seniors Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edgar Meza
• Victoria Dina Meza
• Sephora Mferri Aplogan
• Michelle Bautista
• Horatio Minter III, LPT
• Magda Hassan Mohammed, R.N.
• Claudia Belen Monroy
• Zachary Montanaro, NAVY IDC
• Kathleen Marie Montiel
• Monze Senior Residential Care Inc (Comunita Di Monze)

• PACE Provider Organization in Spring Valley, CA
• Providers in Spring Valley, CA by specialty
• PACE Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.