Analisa Ambat Cayabyab

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

6016221740 Issued in CA

Practice address

68280 Marina Road
Cathedral City, CA 92234

Phone

(760) 218-8906

NPI assigned

Aug 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affinity Senior Living Inc.

  • Assisted Living Facility
  • Cathedral City, CA
  • NPI 1144152869
  NPD Authorized official

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1902630775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68280 MARINA ROAD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "92234",
            "telephone_number": "760-218-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68280 MARINA ROAD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "92234",
            "telephone_number": "760-218-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYABYAB",
        "first_name": "ANALISA",
        "middle_name": "AMBAT",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CA",
            "license": "6016221740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Emralino Carizon, PT
• Jenny Carr, RD
• Deanne Carroll, RN
• Cathedral City Palms, LLC
• Cathedral Congregate Living, Inc
• Mark W. Charles, PHD
• Kylee Chavez, DDS
• Yixuan Che, PT
• Vincent Kim-Thye Chee, D.D.S
• Morgan Chiarantano

• Nursing Home Administrator in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Nursing Home Administrator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.