Individual provider Active NPI

Phylene Ririe

  • Nursing Facility/Intermediate Care Facility
  • Brentwood, CA
National Provider Identifier
1497536791
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Practice address
9671 Deer Valley Rd
Brentwood, CA 94513-4907
Phone
(925) 383-4810
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

9671 Deer Valley Rd
Brentwood, CA 94513-4907

Mailing address

5129 Lone Tree Way
Antioch, CA 94531-8484
Phone (925) 383-4810

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquility Incorporated Current Accepting new patients
Norcal Care Centers, Inc Current Accepting new patients
East Bay Health Care Support Services, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Positive & Vigilant Healthcare Inc Current Accepting new patients

Locations

5129 Lone Tree Way
Antioch, CA 94531
Phone (925) 207-6926

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1497536791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318484",
            "telephone_number": "925-383-4810",
            "fax_number": "925-226-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 DEER VALLEY RD",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134907",
            "telephone_number": "925-383-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIRIE",
        "first_name": "PHYLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.