NPIMap

Organization Active NPI

Ali Baba Corporation

Doing business as Riviera Villa

  • Mental Illness Community Based Residential Treatment Facility
  • San Jose, CA
National Provider Identifier
1477768588
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
ALI BABA CORPORATION
Doing business as
Riviera Villa
Practice address
260 S 11TH St
San Jose, CA 95112-2134
Phone
(408) 289-1644
Fax
(408) 289-1647
NPI assigned
May 11, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Christine Montelaro, MPANPI 1598913576
Title
Billing Manager
Phone
(408) 347-3103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X CA Primary

Addresses

Primary practice location

260 S 11TH St
San Jose, CA 95112-2134

Mailing address

PO Box 2C
San Jose, CA 95109-0003
Phone (408) 288-7734

Other identifiers 2

IdentifierTypeStateIssuer
24595183OtherCAEDD #
D0773068OtherCACA CORP #

Other names 1

  • Riviera Villa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ali Baba Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

260 S 11th St
San Jose, CA 95112
Phone (408) 289-1644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477768588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951090003",
            "telephone_number": "408-288-7734",
            "fax_number": "408-288-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S 11TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122134",
            "telephone_number": "408-289-1644",
            "fax_number": "408-289-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI BABA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MONTELARO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "408-347-3103",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDD #",
            "identifier": "24595183",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA CORP #",
            "identifier": "D0773068",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riviera Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.