Organization Active NPI

Al111 Investments, LLC

  • Assisted Living Facility
  • Sunnyvale, CA
National Provider Identifier
1053753285
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
435200806 Issued in CA
Legal business name
AL111 INVESTMENTS, LLC
Practice address
633 S Knickerbocker Dr
Sunnyvale, CA 94087-1034
Phone
(408) 749-8600
Fax
(408) 749-8633
NPI assigned
Jul 30, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Tayebeh Bagheri
Title
Executive Director
Phone
(408) 749-8600

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2225383Sunrise of Sunnyvale633 S Knickerbocker Drive, Sunnyvale, CA 94087Certificate of waiverMay 19, 2027

National Provider Directory

National Provider Directory

Locations

633 S Knickerbocker Dr
Sunnyvale, CA 94087
Phone (408) 749-8600

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 435200806 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

633 S Knickerbocker Dr
Sunnyvale, CA 94087-1034

Mailing address

633 S Knickerbocker Dr
Sunnyvale, CA 94087-1034
Phone (408) 749-8600

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
SUNNYVALEOtherCAASSISTED LIVING

Other names 1

NPPES NPI Registry
  • Sunrise of Sunnyvale Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2013.

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1053753285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 S KNICKERBOCKER DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871034",
            "telephone_number": "408-749-8600",
            "fax_number": "408-749-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 S KNICKERBOCKER DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871034",
            "telephone_number": "408-749-8600",
            "fax_number": "408-749-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL111 INVESTMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "BAGHERI",
        "authorized_official_first_name": "TAYEBEH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-749-8600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "435200806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING",
            "identifier": "SUNNYVALE",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Sunnyvale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.