Organization Active NPI

Fabulous Senior Living, LLC

  • Assisted Living Facility
  • Ontario, CA
National Provider Identifier
1801762083
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FABULOUS SENIOR LIVING, LLC
Practice address
720 N Alameda Ave
Ontario, CA 91764-3602
Phone
(909) 510-1488
NPI assigned
Oct 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Cheryl Gonzalez
Title
Licensee
Phone
(909) 510-1488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

720 N Alameda Ave
Ontario, CA 91764-3602

Mailing address

720 N Alameda Ave
Ontario, CA 91764-3602
Phone (909) 510-1488

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1801762083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N ALAMEDA AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643602",
            "telephone_number": "909-510-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N ALAMEDA AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643602",
            "telephone_number": "909-510-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABULOUS SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "909-510-1488"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.