Active NPI
PNP Estate LLC
- Assisted Living Facility
- Riverside, CA
National Provider Identifier
1831919190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- PNP ESTATE LLC
- Practice address
- 5430 Sierra Vista Ave
Riverside, CA 92505-3114 - Phone
- (213) 316-6962
- NPI assigned
- Oct 11, 2024
- 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
- Phuong Phat
- Title
- Secretary
- Phone
- (213) 316-6962
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
5430 Sierra Vista Ave
Riverside, CA 92505-3114
Mailing address
12495 Limonite Ave Ste 1042
Eastvale, CA 91752-2457
Phone (213) 316-6962
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1831919190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12495 LIMONITE AVE STE 1042",
"city": "EASTVALE",
"state": "CA",
"postal_code": "917522457",
"telephone_number": "213-316-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 SIERRA VISTA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053114",
"telephone_number": "213-316-6962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PNP ESTATE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "PHAT",
"authorized_official_first_name": "PHUONG",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "213-316-6962"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.