Organization Active NPI

Carmencita Trinidad

  • Assisted Living Facility
  • Camarillo, CA
National Provider Identifier
1699897652
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
565800903 Issued in CA
Legal business name
CARMENCITA TRINIDAD
Practice address
89 Mission Dr
Camarillo, CA 93010-2019
Phone
(805) 383-7960
Fax
(805) 383-7830
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Amy Trinidad
Title
Exec Dir Operations
Phone
(805) 383-7960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 565800903 CA Primary

Addresses

Primary practice location

89 Mission Dr
Camarillo, CA 93010-2019

Mailing address

89 Mission Dr
Camarillo, CA 93010-2019
Phone (805) 383-7960

Other names 1

  • Mission Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1699897652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MISSION DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102019",
            "telephone_number": "805-383-7960",
            "fax_number": "805-383-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MISSION DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102019",
            "telephone_number": "805-383-7960",
            "fax_number": "805-383-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMENCITA TRINIDAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "TRINIDAD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXEC DIR OPERATIONS",
        "authorized_official_telephone_number": "805-383-7960"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "565800903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.