Pacifica SL Penasquitos LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PACIFICA SL PENASQUITOS LP

Practice address

12979 Rancho Penasquitos Blvd
San Diego, CA 92129-2922

Phone

(858) 538-0802

NPI assigned

Apr 4, 2024

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

General Manager

Phone

(619) 296-9000

Specialties & licenses 2

Addresses

Other names 1

• Pacifica Senior Living Rancho Penasquitos Doing business as

Practitioners 1

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

• Momo Kurosaka, MD

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1205848363
  NPD (past)

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1053163790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12979 RANCHO PENASQUITOS BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292922",
            "telephone_number": "858-538-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12979 RANCHO PENASQUITOS BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292922",
            "telephone_number": "858-538-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA SL PENASQUITOS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "ISRANI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "619-296-9000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacifica Senior Living Rancho Penasquitos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Surgical Institute of Pain Management
• Pacific Surgical Institute of Pain Management Inc
• Pacific Water Therapy
• Pacific Wellness Chiropractic
• Pacifica Health and Medical
• Noah Seiya Pacis
• Anthony J Pacitto
• Alex Pack
• Bruce Packel, MFT
• Jeff Packer, RPH

• Assisted Living Facility in San Diego, CA
• Providers in San Diego, 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 Apr 4, 2024; 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.