Eric Pastrmac a Professional Chrio Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ERIC PASTRMAC A PROFESSIONAL CHRIO CORP

Doing business as

Doctors TLC Assisted Living 1

Practice address

17207 Buttonwood St
Fountain Valley, CA 92708-3508

Phone

(714) 381-6505

NPI assigned

Jan 8, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Marissa Pastrmac

Title

Administrator

Phone

(714) 381-6505

Specialties & licenses 1

Addresses

Other names 1

• Doctors TLC Assisted Living 1 Doing business as

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1457949901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 BAKER ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263746",
            "telephone_number": "714-381-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17207 BUTTONWOOD ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083508",
            "telephone_number": "714-381-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC PASTRMAC A PROFESSIONAL CHRIO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "PASTRMAC",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-381-6505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors TLC Assisted Living 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fountain Valley, CA
• Providers in Fountain Valley, 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 Jan 8, 2021; 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.