Jomi Alta5 Icfdd N
Jomi Alta5 Icfdd N is a healthcare organization registered as Nursing Facility/Intermediate Care Facility in Altadena, CA, holding Type 2 (organization) NPI 1124169537 since 2007. The authorized official on file is Roger Cuevas, Business Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124169537 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jomi Alta5 Icfdd N |
| Other name | <Unavail> |
| Practice address | 2075 EL MOLINO AVE, Altadena, CA, 91001 |
| Phone | 6267911321 |
| Fax | 8188414403 |
| Enumeration date | 2007-02-09 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Roger Cuevas |
|---|---|
| Title | Business Manager |
| Phone | 8188411044 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | Primary | — | CA |
Copy-ready billing details
Provider: Jomi Alta5 Icfdd N NPI: 1124169537 Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility) Address: 2075 EL MOLINO AVE, Altadena, CA, 91001
Verify this record
Cross-check NPI 1124169537 against the authoritative CMS record: view Jomi Alta5 Icfdd N on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Jomi Alta5 Icfdd N?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.