Sapphire Chardonnay

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

374603688 Issued in CA

Legal business name

SAPPHIRE CHARDONNAY

Doing business as

Sapphire Pacific

Practice address

484 Chardonnay CT
San Marcos, CA 92069-7820

Phone

(714) 322-1910

Fax

(866) 602-7153

NPI assigned

Sep 17, 2016

Organization subpart

No

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

Authorized official

Name

Ali Naghibi

Title

Ceo

Phone

(714) 322-1910

Specialties & licenses 1

Addresses

Other names 1

• Sapphire Pacific Doing business as

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

{
    "created_epoch": "1474070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474070400000",
    "number": "1174071278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 CHARDONNAY CT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920697820",
            "telephone_number": "714-322-1910",
            "fax_number": "866-602-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 CHARDONNAY CT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920697820",
            "telephone_number": "714-322-1910",
            "fax_number": "866-602-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE CHARDONNAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-17",
        "last_updated": "2016-09-17",
        "status": "A",
        "authorized_official_last_name": "NAGHIBI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-322-1910"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "374603688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sapphire Pacific",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noemi Santiago Anacleto
• Dalisha Santiago
• Michelle Canales Santiago
• Acrisma Rocio Santos
• Bianca Santoyo
• Sapphire Lake San Marcos
• Lyla Sarwary
• Geraldine Sasuga
• Madison Sasuga
• Patrick J Savaiano, PSY.D.

• Adult Care Home Facility in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; 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.