Pico Rivera Gardens

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PICO RIVERA GARDENS

Practice address

6525 Rosemead Blvd
Pico Rivera, CA 90660-3501

Phone

(562) 949-8489

NPI assigned

Aug 18, 2022

Organization subpart

No

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

Authorized official

Name

Mordechai Stock

Title

Licensee

Phone

(562) 949-8489

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1710605472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 ROSEMEAD BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603501",
            "telephone_number": "562-949-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 ROSEMEAD BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603501",
            "telephone_number": "562-949-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICO RIVERA GARDENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "STOCK",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "562-949-8489"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessenia Yvette Perilla
• Cynthia Elizabeth Peters, LPT
• Phong T. Tran DDS, Inc
• Pico Rivera Chiropractic and Sports Medicine (Premiere Chiropractic and Sports Medicine)
• Pico Rivera Community Medical Clinic Inc
• Pico Rivera Healthcare LLC (Pico Rivera Healthcare Center)
• Pico Rivera Pharmacy Inc (Pico Rivera Pharmacy)
• Pico Rivera Womens and Children Inc
• Mauricio Pineda, RDA III
• Yvette Pineda, DDS

• Adult Care Home Facility in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.