Pacifica SL Scottsdale LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PACIFICA SL SCOTTSDALE LLC

Practice address

2620 N. 68TH Street
Scottsdale, AZ 85257

Phone

(480) 946-6571

Fax

(480) 946-0082

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Deepak Israni

Title

Managing Partner

Phone

(619) 296-9000

Specialties & licenses 2

Addresses

Other names 1

• Scottsdale Village Square Doing business as

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1043725765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 HANCOCK STREET",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92110",
            "telephone_number": "619-296-9000",
            "fax_number": "619-296-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 N. 68TH STREET",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85257",
            "telephone_number": "480-946-6571",
            "fax_number": "480-946-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA SL SCOTTSDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "ISRANI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "619-296-9000"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsdale Village Square",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Leigh Pacheco
• Maria Jose Pachon, MD
• Linda S Pachuta
• Pacific Coast Psychiatric Associates Inc
• Pacific Sonoran Anesthesia LLC
• Pacifica SL Scottsdale LLC
• Lucia Pacurar
• Joselito R Padaoan, PTA
• Michele C Paden, PA-C
• Thomas Padilla, D.P.T.

• Skilled Nursing Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.