Fedelia Daiz

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

20905 El Nido Ave
Perris, CA 92571-8806

Phone

(951) 943-8762

NPI assigned

Mar 3, 2023

Sex

Female

Sole proprietor

Yes

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

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.

• Famous House

  • Assisted Living Facility
  • Perris, CA
  • NPI 1578299962
  NPD
• Real Sweet Home

  • Assisted Living Facility
  • Perris, CA
  • NPI 1588390975
  NPD

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1932809464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 EL NIDO AVE",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925718806",
            "telephone_number": "951-943-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 EL NIDO AVE",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925718806",
            "telephone_number": "951-943-8762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26690 McClure Ct",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925718734",
            "country_code": "US",
            "telephone_number": "951-943-8762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAIZ",
        "first_name": "FEDELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Cullampe, DDS
• Robyn Curl
• Stephen Custis
• Kadiatou Dafney, FNP
• Ron Anthony Dailey, MSW
• Miriam J Dalton
• Mia Dang
• Daniel'S Pharmacy Inc
• Mary I. Daniels, RN, MPH
• Tracy Ann Dawes, NP

• Assisted Living Facility in Perris, CA
• Providers in Perris, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.