OrganizationActive
Fillmore Country Club
NPI 1336588557 · Assisted Living Facility · Fillmore, CA
Fillmore Country Club is a Assisted Living Facility organization in Fillmore, CA (NPI 1336588557).
Provider details
- NPI number
- 1336588557
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jenq Chen, Chairman/President(310) 889-9929
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
827 River St
Fillmore, CA 93015-1818
Phone: (805) 524-7979
Street-level locationGet directions
Mailing address
1937 Pontius Ave
Los Angeles, CA 90025-5611
Registry dates
- Enumerated
- 2013-06-20
- Last updated
- 2013-06-20
Frequently asked questions
- What is Fillmore Country Club's NPI number?
- Fillmore Country Club's National Provider Identifier (NPI) is 1336588557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fillmore Country Club?
- Fillmore Country Club is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Fillmore Country Club located?
- Fillmore Country Club's practice location on file with NPPES is 827 River St, Fillmore, CA 93015-1818.
- What is Fillmore Country Club's phone number?
- The practice phone number listed in the NPPES registry for Fillmore Country Club is (805) 524-7979.
- Who is the authorized official for Fillmore Country Club?
- The authorized official listed on Fillmore Country Club's NPPES record is Jenq Chen, Chairman/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fillmore Country Club's NPI active?
- Yes — Fillmore Country Club's NPI (1336588557) is active in the NPPES registry as of the last update on 2013-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.