PSB Homes, Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

55G297 Issued in CA

Legal business name

PSB HOMES, INC

Practice address

4742 Via del Rancho
Yorba Linda, CA 92886-2927

Phone

(714) 777-5130

NPI assigned

May 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Priscilla S. Bustamante, DDS

Title

President

Phone

(714) 926-2352

Specialties & licenses 1

Addresses

Other names 1

• Casa de Yorba Linda Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G297

Legal name

CASA DE YORBA LINDA

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Oct 20, 1999

Last certification

Feb 28, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

4742 Via del Rancho
Yorba Linda, CA 92886

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Casa de Yorba Linda2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• PSB Homes Inc. Dracaena Homes

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Buena Park, CA
  • NPI 1003245499
  NPD tax ID

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1609195221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20065 VIA NATALIE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873151",
            "telephone_number": "714-926-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4742 VIA DEL RANCHO",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862927",
            "telephone_number": "714-777-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSB HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-926-2352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "55G297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa de Yorba Linda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Prieto, D.C.
• Wanda Sue Pritts, RN, CNS
• Virginia Vern Privette, MFT
• Lauren Proano
• Joanna Marie Pasion Prudhomme, NP
• Jennie Hope Pullen, AMFT
• Puresmiledentalhygienepracticeofminervaherediardhap
• Taylor Pyle, LPCC, LMFT
• Guotian Quan
• Nini P Quintana, RPH

• Intellectual Disabilities Intermediate Care Facility in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.