Nelly Nunez

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

336424621 Issued in CA

Practice address

41747 Whittier Ave
Hemet, CA 92544-6406

Phone

(323) 334-7403

NPI assigned

Aug 23, 2024

Last updated

May 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Nelly Marlene Nunez Dba Victoria Gardens Residential Care

  • Assisted Living Facility
  • San Jacinto, CA
  • NPI 1053165605
  NPD Authorized official

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1669205639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 RUE CHENIN BLANC",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835806",
            "telephone_number": "323-334-7403",
            "fax_number": "951-344-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41747 WHITTIER AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925446406",
            "telephone_number": "323-334-7403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1829 Rue Chenin Blanc",
            "address_purpose": "LOCATION",
            "city": "San Jacinto",
            "state": "CA",
            "postal_code": "925835806",
            "country_code": "US",
            "telephone_number": "323-334-7403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "NELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "336424621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Kaye Norton, RD
• John C Nosti, DDS
• Nova Tech Plus (Authenticity Inc. Org / Community Needs Me Association)
• Isabel Ntekim
• Christina Nunez
• Stephanie Nunez
• Tracy Chizobam Nwanne, MD
• Precious Ijeoma Nwoko, MD
• Renee Colette O'Brien, L.C.S.W.
• Stacey O'Neal

• Assisted Living Facility in Hemet, CA
• Providers in Hemet, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.