Shining Bright Senior Care Home Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SHINING BRIGHT SENIOR CARE HOME INC.

Practice address

697 Plumer St
Costa Mesa, CA 92627-2720

Phone

(714) 749-6629

Fax

(657) 223-6796

NPI assigned

Sep 27, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Kathrina Pador Buller

Title

Vice President

Phone

(714) 749-6629

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1750160719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7429 E CALICO TRL",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928692415",
            "telephone_number": "714-749-6629",
            "fax_number": "657-223-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 PLUMER ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272720",
            "telephone_number": "714-749-6629",
            "fax_number": "657-223-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING BRIGHT SENIOR CARE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "BULLER",
        "authorized_official_first_name": "KATHRINA",
        "authorized_official_middle_name": "PADOR",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-749-6629",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Emiko Shimazaki
• Stewart George Shimoda, MD
• Heidi Shin
• SE Kuee Shin
• Darryl Shinder
• Marta M Shinn, PHD.
• Cynthia Lynn Shippboccara, DC
• Shirin Afrasiabi MD Inc
• Allison Elizabeth Sholly, OD
• December Loraine Shore, RN

• Assisted Living Facility in Costa Mesa, CA
• Providers in Costa Mesa, 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 Sep 27, 2023; 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.