1. Home
  2. Directory
  3. California
  4. Covina
  5. Assisted Living Facility
  6. NPI Profile

CLEMENCIA BOUSHERI
NPI 1982595534
Assisted Living Facility in Covina, CA

Active since July 11, 2025
21020 E CIENEGA AVE, COVINA, CA 91724(626) 967-2868(626) 967-0006 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clemencia Bousheri NPPES

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

CLEMENCIA BOUSHERI (NPI 1982595534) is an individual assisted living facility provider in Covina, California, licensed in California (197802563) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1982595534
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameCLEMENCIA BOUSHERI
Location Address21020 E CIENEGA AVECovina, CA 91724-1413
Mailing Address21020 E Cienega AveCovina, CA 91724-1413 · (626) 967-2868 · Fax (626) 967-0006
Phone(626) 967-2868
Fax(626) 967-0006
Sole ProprietorYes
Enumeration DateJuly 11, 2025
NPPES CertifiedJuly 11, 2025
✔ NPI 1982595534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CA · 197802563
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.
21020 E CIENEGA AVE, Covina, CA 91724
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EL DESCANSO RETIREMENT HOME
Assisted Living Facility
21020 E CIENEGA AVE
COVINA, CA 91724
Los Angeles County (626) 383-2413

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 Clemencia Bousheri's NPI number?

The NPI number for Clemencia Bousheri is 1982595534. It was assigned to this individual provider in the NPPES registry on July 11, 2025.

Where is Clemencia Bousheri located?

Clemencia Bousheri practices at 21020 E Cienega Ave, Covina, CA 91724. The listed phone number is (626) 967-2868.

What is Clemencia Bousheri'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 Clemencia Bousheri was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.