Leilani Dizon Aragon
Individual provider Active NPI Assisted Living Facility · Fair Oaks, CA
NPI 1457907255 · NPPES record last updated Aug 16, 2019
Key facts
- NPI
- 1457907255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 342700350 (CA)
- Practice address
- 5929 Spring Glen Dr
Fair Oaks, CA 95628-2729 - Phone
- (916) 844-7582
- NPI assigned
- Aug 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 342700350 | CA | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Glen Elderly Care Villa | Assisted Living Facility | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 342700350 | CA | Yes |
Addresses
Primary practice location
5929 Spring Glen Dr
Fair Oaks, CA 95628-2729
Mailing address
331 Portico CT
Tracy, CA 95377-1107
Other providers in Fair Oaks, CA
- Anthony Phan DMD and Ngoc Pham DMD, Inc
- Lyndsay J Antkowiak
- Ashly Apeah
- Apex Research Group, LLC
- Melinda Appleby
- Arclight Healthcare
- Thomas James Arostegui
- Arroyo Senior Care
- Annette C Asplund
- Jennifer Aubrey
All providers in Fair Oaks, CA · Assisted Living Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.