Organization Active NPI

Pacifica Newport Mesa LLC

  • Alzheimer Center (Dementia Center)
  • Costa Mesa, CA
National Provider Identifier
1104425925
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
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

Updated by the provider on Aug 19, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.