RB Senior Residences

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

374602950 Issued in CA

Legal business name

RB SENIOR RESIDENCES

Practice address

15260 Amalia St
San Diego, CA 92129-1228

Phone

(858) 366-8787

Fax

(858) 324-1783

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Azila S Ortiz

Title

Administrator

Phone

(858) 366-8787

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1902348527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15260 AMALIA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921291228",
            "telephone_number": "858-366-8787",
            "fax_number": "858-324-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15260 AMALIA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921291228",
            "telephone_number": "858-366-8787",
            "fax_number": "858-324-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RB SENIOR RESIDENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "AZILA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "858-366-8787",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "374602950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in San Diego, CA
• Providers in San Diego, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.