Organization Active NPI

Cerijon'S Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fullerton, CA
National Provider Identifier
1790874659
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
CERIJON'S HOME
Practice address
1455 W Woodcrest Ave
Fullerton, CA 92833-4630
Phone
(714) 871-0378
Fax
(714) 871-4248
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cristina C Santos
Title
Owner
Phone
(714) 871-0378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X CA Primary

Addresses

Primary practice location

1455 W Woodcrest Ave
Fullerton, CA 92833-4630

Mailing address

1455 W Woodcrest Ave
Fullerton, CA 92833-4630
Phone (714) 871-0378

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790874659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W WOODCREST AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334630",
            "telephone_number": "714-871-0378",
            "fax_number": "714-871-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W WOODCREST AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334630",
            "telephone_number": "714-871-0378",
            "fax_number": "714-871-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERIJON'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-871-0378"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • 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.