Active NPI
Maria Planas Riformo
- Assisted Living Facility
- San Pablo, CA
National Provider Identifier
1497325906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 071441217
- Practice address
- 2430 Bancroft LN
San Pablo, CA 94806-3104 - Phone
- (510) 222-4109
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 075601208 | CA | |
| Assisted Living Facility | 310400000X | 075600176 | CA | |
| Assisted Living Facility | 310400000X | 071441217 | CA | Primary |
Addresses
Primary practice location
2430 Bancroft LN
San Pablo, CA 94806-3104
Mailing address
3831 La Colina Rd
El Sobrante, CA 94803-2913
Phone (510) 734-3890
Other practice location 1
508 Kay Ann Ct
El Sobrante, CA 94803-3407
Phone (510) 222-1406
Other practice location 2
3831 La Colina Rd
El Sobrante, CA 94803-2913
Phone (510) 222-0945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075600176 | CA | MD | Assisted Living Facility |
| 075601208 | CA | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1497325906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3831 LA COLINA RD",
"city": "EL SOBRANTE",
"state": "CA",
"postal_code": "948032913",
"telephone_number": "510-734-3890",
"fax_number": "510-223-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 BANCROFT LN",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063104",
"telephone_number": "510-222-4109"
}
],
"practiceLocations": [
{
"address_1": "508 Kay Ann Ct",
"address_purpose": "LOCATION",
"city": "El Sobrante",
"state": "CA",
"postal_code": "948033407",
"country_code": "US",
"telephone_number": "510-222-1406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3831 La Colina Rd",
"address_purpose": "LOCATION",
"city": "El Sobrante",
"state": "CA",
"postal_code": "948032913",
"country_code": "US",
"telephone_number": "510-222-0945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIFORMO",
"first_name": "MARIA",
"middle_name": "PLANAS",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "075601208",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "075600176",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "071441217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.