Parkside Villa Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PARKSIDE VILLA INC.

Doing business as

Parkside Villas II

Practice address

300 S 22ND St
San Jose, CA 95116-2727

Phone

(510) 915-0629

NPI assigned

Aug 30, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marie Jan Foronda-Cayabyab

Title

President

Phone

(408) 831-7411

Specialties & licenses 1

Addresses

Other names 1

• Parkside Villas II Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Jan Foronda-Cayabyab

  • Nursing Home Administrator
  • San Jose, CA
  • NPI 1518450550
  NPD (past)

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1033767215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 22ND ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162727",
            "telephone_number": "408-831-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 22ND ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162727",
            "telephone_number": "510-915-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE VILLA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "FORONDA-CAYABYAB",
        "authorized_official_first_name": "MARIE JAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-831-7411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Villas II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shadawn Parker
• Vanessa Parker
• Virginia Parker
• Alyssa Parks, DTCM, L.AC
• Elvira Ruiz Parks, P.A-C
• Kathryn Parlet, LMFT
• Eden Kathleen Parmer
• Parra Medical Clinic, Inc.
• Citlalli Parra Torres
• Carlos Alfonso Parra

• Assisted Living Facility in San Jose, CA
• Providers in San Jose, 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 Aug 30, 2019; 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.