David Bostanchyan
Individual provider Active NPI Assisted Living Facility · Orangevale, CA
NPI 1043817638 · NPPES record last updated Oct 15, 2022
Key facts
- NPI
- 1043817638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 342700545 (CA)
- Practice address
- 8874 Nimbus Way
Orangevale, CA 95662-4522 - Phone
- (916) 627-0305
- Fax
- (916) 618-4587
- NPI assigned
- Oct 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 342700545 | CA | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Senior Care LLC | Assisted Living Facility | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 342700545 | CA | Yes |
Addresses
Primary practice location
8874 Nimbus Way
Orangevale, CA 95662-4522
Mailing address
8874 Nimbus Way
Orangevale, CA 95662-4522
Phone (916) 627-0305
Other providers in Orangevale, CA
- Best Pathways Home Health LLC
- Bethesda Senior Care LLC
- Jasmine Rose Blunt
- Esther Laza Bolthausen
- Liliya Borichevskiy
- Gregory Elisha Bottum
- William Scott Brady
- Meredith Brandstetter
- Georgia Lyn Brown I
- Jewel Brown
All providers in Orangevale, CA · Assisted Living Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.