Brentwood SH Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRENTWOOD SH OPCO, LLC

Practice address

450 John Muir Pkwy
Brentwood, CA 94513-5195

Phone

(925) 516-8006

Fax

(925) 516-8506

NPI assigned

Sep 10, 2025

Organization subpart

No

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

Authorized official

Name

Steven Bae

Title

VP of Org Development

Phone

(503) 675-3925

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1073494555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 1ST ST STE 104",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343273",
            "telephone_number": "503-675-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 JOHN MUIR PKWY",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135195",
            "telephone_number": "925-516-8006",
            "fax_number": "925-516-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD SH OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VP OF ORG DEVELOPMENT",
        "authorized_official_telephone_number": "503-675-3925"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brentwood Assisted Living, LLC
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• Brentwood Foot and Ankle Clinic, Inc.
• Brentwood Hills Modern Dentistry, Prof. Corp.
• Brentwood Optometric Center
• Brentwood Surgery Center, LLC
• Brentwood Union School District
• Henry Bridges
• Jeremiah Aaron Brignolio
• Adriel Briscoe

• Assisted Living Facility in Brentwood, CA
• Providers in Brentwood, 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 Sep 10, 2025; 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.