Pacifica Valley Crest LP

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

PACIFICA VALLEY CREST LP

Practice address

18524 Corwin Rd
Apple Valley, CA 92307-2302

Phone

(760) 242-3188

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Addresses

Other names 1

• Valley Crest Memory Care Doing business as

Locations

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1235738071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18524 CORWIN RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072302",
            "telephone_number": "760-242-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18524 CORWIN RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072302",
            "telephone_number": "760-242-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA VALLEY CREST LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "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": "Valley Crest Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dora Pacheco
• Matthew Lopez Pacheco
• Pacific Clinics
• Pacific Clinics
• Pacific Eye Institute a Medical Group Inc
• Eric Andrews Packard, OTR/L
• Chelsea Nicole Tanilon Paclibar, DDS
• Natalie Padilla, B.A.
• Vianca Padilla
• Jasmine Padinske

• Alzheimer Center (Dementia Center) in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.