Active NPI
Mountain View Residential Care, Inc.
- Assisted Living Facility
- Fontana, CA
National Provider Identifier
1790941714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 366409921
- Legal business name
- MOUNTAIN VIEW RESIDENTIAL CARE, INC.
- Practice address
- 9073 Olive St
Fontana, CA 92335-4624 - Phone
- (909) 822-5174
- Fax
- (909) 822-8117
- NPI assigned
- Jul 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alexander B. Ilagan
- Title
- Administrator
- Phone
- (909) 822-5174
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 366409921 | CA | Primary |
Addresses
Primary practice location
9073 Olive St
Fontana, CA 92335-4624
Mailing address
9073 Olive St
Fontana, CA 92335-4624
Phone (909) 822-5174
National Provider Directory
National Provider DirectoryLocations
9073 Olive St
Fontana, CA 92335
Phone (909) 822-5174
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- City of Industry, CA
- NPI 1427248319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217289600000",
"number": "1790941714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9073 OLIVE ST",
"city": "FONTANA",
"state": "CA",
"postal_code": "923354624",
"telephone_number": "909-822-5174",
"fax_number": "909-822-8117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9073 OLIVE ST",
"city": "FONTANA",
"state": "CA",
"postal_code": "923354624",
"telephone_number": "909-822-5174",
"fax_number": "909-822-8117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VIEW RESIDENTIAL CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A",
"authorized_official_last_name": "ILAGAN",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "909-822-5174",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "366409921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.