Yusef Nofal

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

361881241 Issued in CA

Practice address

2496 1/2 N Macy St
San Bernardino, CA 92407-6597

Phone

(646) 523-8208

NPI assigned

May 19, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Fairview Living LLC

  • Assisted Living Facility
  • Rialto, CA
  • NPI 1750088605
  NPD Authorized official
• Valley Silvertown LLC

  • Assisted Living Facility
  • West Hills, CA
  • NPI 1578440699
  NPD Authorized official
• Winter Woods Cottages LLC

  • Assisted Living Facility
  • Riverside, CA
  • NPI 1437045713
  NPD Authorized official

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1477244341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 W HUFF ST",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766826",
            "telephone_number": "646-523-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 1/2 N MACY ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924076597",
            "telephone_number": "646-523-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOFAL",
        "first_name": "YUSEF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "CA",
            "license": "361881241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Ellis Nisly
• Lanny Nizar, MD
• Uchenna Nnaji, PSYD
• Amanda Nobles
• Joyce Ellen Noblitt Herold, LMFT
• Keith Noonan, D.O.
• Irma Fuentes Noonchester
• Phyllis Ann Noreika, MFT
• Ashley Noriega
• Robert William Noriega

• Assisted Living Facility (Mental Illness) in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.