Active NPI
Pacifica Newport Mesa LLC
- Alzheimer Center (Dementia Center)
- Costa Mesa, CA
National Provider Identifier
1104425925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- Legal business name
- PACIFICA NEWPORT MESA LLC
- Practice address
- 2891 Bear St
Costa Mesa, CA 92626-4306 - Phone
- (949) 629-1020
- NPI assigned
- Oct 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deepak Israni
- Title
- Owner
- Phone
- (619) 296-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | Primary |
Addresses
Primary practice location
2891 Bear St
Costa Mesa, CA 92626-4306
Mailing address
2891 Bear St
Costa Mesa, CA 92626-4306
Phone (949) 629-1020
Other names 1
- Newport Mesa Senior Living
National Provider Directory
National Provider DirectoryLocations
2891 Bear St
Costa Mesa, CA 92626
Phone (949) 298-6857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755561600000",
"number": "1104425925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2891 BEAR ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264306",
"telephone_number": "949-629-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2891 BEAR ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264306",
"telephone_number": "949-629-1020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFICA NEWPORT MESA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-22",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A",
"authorized_official_last_name": "ISRANI",
"authorized_official_first_name": "DEEPAK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-296-9000"
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Newport Mesa Senior Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Costa Mesa, CA
- Pacific Neuropsychiatric Specialists
- Pacific Neuropsychiatric Specialists Inc.
- Pacific Oaks Medical Group & Subsidiary
- Pacific Surgery Center
- Pacific Surgical Associates, a Medical Corporation
- Pacifica Orange County LLC
- Jennifer Pacini, LMFT
- Leina R Pada
- Erin Michele Padden
- Christine A. Padesky, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.