Organization Active NPI

Riverbottom Corp

  • Assisted Living Facility
  • National City, CA
National Provider Identifier
1710733993
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
RIVERBOTTOM CORP
Practice address
1939 Granger Ave
National City, CA 91950-5329
Phone
(619) 495-7513
NPI assigned
Apr 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Aleena Cruz
Title
Cfo
Phone
(619) 495-7513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1939 Granger Ave
National City, CA 91950-5329

Mailing address

1939 Granger Ave
National City, CA 91950-5329
Phone (619) 495-7513

Other names 1

  • Pacific Coast Assisted Living 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": "1714176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1710733993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 GRANGER AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505329",
            "telephone_number": "619-495-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 GRANGER AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505329",
            "telephone_number": "619-495-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBOTTOM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ALEENA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-495-7513"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Coast Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.