Active NPI
Al111 Investments, LLC
- Assisted Living Facility
- Sunnyvale, CA
National Provider Identifier
1053753285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 435200806
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2225383 | Sunrise of Sunnyvale | Certificate of waiver | May 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
633 S Knickerbocker Dr
Sunnyvale, CA 94087
Phone (408) 749-8600
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 435200806 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| SUNNYVALE | Other | CA | ASSISTED LIVING |
Other names 1
NPPES NPI Registry- Sunrise of Sunnyvale
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.