Rose Valley Altadena I, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ROSE VALLEY ALTADENA I, LLC

Practice address

2135 Santa Anita Ave
Altadena, CA 91001-2916

Phone

(626) 714-7323

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Daniel Kuo

Title

Managing Member

Phone

(626) 272-9058

Specialties & licenses 1

Addresses

Other names 1

• Pinnacle Health Santa Anita Doing business as

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1487412391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SANTA ANITA AVE STE 300",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063116",
            "telephone_number": "626-272-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 SANTA ANITA AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012916",
            "telephone_number": "626-714-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE VALLEY ALTADENA I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "KUO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "626-272-9058"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Health Santa Anita",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Rodriguez
• Marcos Rodriguez Sr., AMFT
• Gabriela Marie Romero, MSW
• Victor Romero
• Christian Rosales
• Rose Valley Colman
• Diana Ruano
• Pamela Russell
• Angie Sae Kung, LVN
• Kim Veronica Sainten

• Skilled Nursing Facility in Altadena, CA
• Providers in Altadena, 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 Mar 6, 2024; 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.