Chino Avenue Congregate Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHINO AVENUE CONGREGATE HOME INC

Practice address

3408 Chino Ave
Chino, CA 91710-4714

Phone

(909) 270-3293

Fax

(909) 635-6476

NPI assigned

Mar 15, 2016

Last updated

Oct 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven Martinson

Title

Executive Assistant

Phone

(714) 747-6546

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1477914679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928220062",
            "telephone_number": "714-747-6546",
            "fax_number": "909-635-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 CHINO AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104714",
            "telephone_number": "909-270-3293",
            "fax_number": "909-635-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINO AVENUE CONGREGATE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "MARTINSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "714-747-6546",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Bunjiun Cheng, M.D.
• Vijaya Rao Cherukuri, DDS FICD
• Sreeja Cherukuru, M.B.B.S.
• Sean Jeral Childress
• Chino Acupuncture & Herbs Clinic, Inc.
• Chino Care Inc. (Chino Care ADHC)
• Chino Emergency Medical Associates
• Chino Emergency Medical Associates, Inc.
• Chino Family Optometry Inc
• Chino Medical Group, Inc (My Family Medical Group)

• Skilled Nursing Facility in Chino, CA
• Providers in Chino, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.