Organization Active NPI

Crow Canyon Residential Care, Inc

  • Assisted Living Facility
  • Pittsburg, CA
National Provider Identifier
1891651592
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CROW CANYON RESIDENTIAL CARE, INC
Practice address
2254 Dover Way
Pittsburg, CA 94565-4758
Phone
(925) 267-4489
NPI assigned
Dec 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2025

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

Authorized official

Name
Dr. Ruffy Bolivar Yu, DHA
Title
Administrator/Owner
Phone
(925) 550-3117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2254 Dover Way
Pittsburg, CA 94565-4758

Mailing address

5 Fairside CT
Pittsburg, CA 94565-7342
Phone (925) 267-4489

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1766793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766793600000",
    "number": "1891651592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FAIRSIDE CT",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945657342",
            "telephone_number": "925-267-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 DOVER WAY",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654758",
            "telephone_number": "925-267-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROW CANYON RESIDENTIAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-27",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "RUFFY",
        "authorized_official_middle_name": "BOLIVAR",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "925-550-3117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.