Camtrent LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CAMTRENT LLC

Doing business as

ROYAL CREST HEALTH CARE

Practice address

519 W Badillo St
Covina, CA 91722-3763

Phone

(626) 915-5621

Fax

(626) 966-3680

NPI assigned

Oct 8, 2005

Organization subpart

No

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

Authorized official

Name

Lydia Floro Cruz

Title

President

Phone

(323) 965-0600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ROYAL CREST HEALTH CARE Doing business as

Locations

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

{
    "created_epoch": "1128729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700874393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223763",
            "telephone_number": "626-915-5621",
            "fax_number": "626-966-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223763",
            "telephone_number": "626-915-5621",
            "fax_number": "626-966-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMTRENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "FLORO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-965-0600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05544H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROYAL CREST HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gail G Campofiore, MD
• Luz Maria Campos Bravo
• Ashley Lissette Campos
• Elizabeth Campos
• Jennifer Lee Campos, LCSW, MPA
• Camtrent, LLC
• Desiree Can
• Jennifer Erin Canavan
• Ruben Matthew Candelaria
• Janessa Canilao

• Skilled Nursing Facility in Covina, CA
• Providers in Covina, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.