Riverside Villa

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RIVERSIDE VILLA

Practice address

3495 Jefferson St
Riverside, CA 92504-3519

Phone

(951) 687-1617

Fax

(951) 848-9232

NPI assigned

Jun 6, 2014

Last updated

Jun 6, 2014By 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

Armen Khrlobyan

Title

Ceo

Phone

(951) 687-1617

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1497168496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 JEFFERSON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043519",
            "telephone_number": "951-687-1617",
            "fax_number": "951-848-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 JEFFERSON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043519",
            "telephone_number": "951-687-1617",
            "fax_number": "951-848-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "KHRLOBYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-687-1617"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Unified School District
• Riverside Unified School District
• Riverside Unified School District
• Riverside Univeristy Health System Department of Mental Health
• Riverside University Health System
• Riverwalk Facial and Oral Surgery
• Riverwalk Pharmacy
• Riverwalk Surgery Center, LLC (Precision Surgery Center)
• Riverwalk Ultrasound Center
• Miriam M Rizk, PSY.D.

• Skilled Nursing Facility in Riverside, CA
• Providers in Riverside, 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 Jun 6, 2014; 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.