RAV PREMERA CARE
NPI 1356929442
Assisted Living Facility in Fullerton, CA

Active since March 30, 2021
864 N FORD AVE, FULLERTON, CA 92832(949) 394-8708 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2025, Mar 30, 2021 (2 updates tracked since 2021).

About Rav Premera Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAV PREMERA CARE (NPI 1356929442) is a healthcare organization registered as an assisted living facility in Fullerton, California and active in the NPI registry since March 2021. The organization maintains a secondary practice location in Yorba Linda and lists Marian Mejia, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1356929442
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameRAV PREMERA CARE
Location Address864 N FORD AVEFullerton, CA 92832-1261
Mailing Address864 N Ford AveFullerton, CA 92832-1261 · (949) 394-8708
Organization SubpartNo
Authorized OfficialMarian MejiaManaging Member · (949) 394-8708
Enumeration DateMarch 30, 2021
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
NPI 1356929442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
864 N FORD AVE, Fullerton, CA 92832

Secondary Practice Location 1

Location 117072 Saga DrYorba Linda, CA 92886-3628 · Phone (949) 394-8708 · Fax (714) 982-3348

Other Identifiers 1

Other306005851CA · Ccld Rcfe

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rav Premera Care's NPI number?

The NPI number for Rav Premera Care is 1356929442. It was assigned to this organization in the NPPES registry on March 30, 2021.

Where is Rav Premera Care located?

Rav Premera Care is located at 864 N Ford Ave, Fullerton, CA 92832. The listed phone number is (949) 394-8708.

What is Rav Premera Care's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Rav Premera Care was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.