Active NPI
Rona Juliano
- Nursing Home Administrator
- Lake Elsinore, CA
National Provider Identifier
1508231341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- 336406400
- Practice address
- 30002 N Lake Dr
Lake Elsinore, CA 92530-1227 - Phone
- (951) 219-6095
- NPI assigned
- Dec 4, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | 336406400 | CA | Primary |
Addresses
Primary practice location
30002 N Lake Dr
Lake Elsinore, CA 92530-1227
Mailing address
PO Box 564
Lake Elsinore, CA 92531-0564
Phone (951) 219-6095
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336406400 | CA | MD | Nursing Home Administrator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1508231341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 564",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925310564",
"telephone_number": "951-219-6095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30002 N LAKE DR",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925301227",
"telephone_number": "951-219-6095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIANO",
"first_name": "RONA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-04",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "CA",
"license": "336406400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.