Organization Active NPI

Shangrila Healthcare Inc.

  • Assisted Living Facility
  • Pomona, CA
National Provider Identifier
1578400347
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHANGRILA HEALTHCARE INC.
Practice address
692 E Phillips Blvd
Pomona, CA 91766-4549
Phone
(626) 318-8904
NPI assigned
Apr 30, 2026
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Mr. Lucio Collado
Title
Ceo
Phone
(626) 318-8904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

692 E Phillips Blvd
Pomona, CA 91766-4549

Mailing address

692 E Phillips Blvd
Pomona, CA 91766-4549
Phone (626) 318-8904

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1578400347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 E PHILLIPS BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664549",
            "telephone_number": "626-318-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 E PHILLIPS BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664549",
            "telephone_number": "626-318-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANGRILA HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "COLLADO",
        "authorized_official_first_name": "LUCIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-318-8904",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.