Petal Guest Home LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

PETAL GUEST HOME LLC

Practice address

1531 Petal CT
San Diego, CA 92114-6907

Phone

(619) 414-0243

NPI assigned

Jul 17, 2026

Organization subpart

No

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

Authorized official

Name

Jeremy BagaoisanNPI 1770331316

Title

Co-Owner

Phone

(619) 414-0243

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy Bagaoisan

  • Assisted Living Facility
  • Poway, CA
  • NPI 1770331316
  Authorized official Same address or phone

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1184544363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 PETAL CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921146907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 PETAL CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921146907",
            "telephone_number": "619-414-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETAL GUEST HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "BAGAOISAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "619-414-0243"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Peskin
• Alberto Pesqueira, DPT
• Carolina Pesqueira
• Elizabeth Pessaran
• Alexandra Pestereanu-Gere, PSYD
• Heather Grant Petanovitch, LCSW
• Dylan Pete
• Peter DO Dental Corporation
• Peter Harsch Prosthetics, LLC
• Peter Morcos MD Inc

• Assisted Living Facility (Mental Illness) in San Diego, CA
• Providers in San Diego, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.