Organization Active NPI

East Bay Longevity Assisted Living LLC

  • Assisted Living Facility
  • Oakland, CA
National Provider Identifier
1245141530
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EAST BAY LONGEVITY ASSISTED LIVING LLC
Practice address
388 12TH St
Oakland, CA 94607-4249
Phone
(510) 808-7783
Fax
(510) 255-6089
NPI assigned
Sep 15, 2026
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Mrs. Alice Kuang
Title
Administrator
Phone
(415) 218-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

388 12TH St
Oakland, CA 94607-4249

Mailing address

1086 Clearfield Dr
Millbrae, CA 94030-2153
Phone (415) 218-2620

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1245141530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 CLEARFIELD DR",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302153",
            "telephone_number": "415-218-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 12TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074249",
            "telephone_number": "510-808-7783",
            "fax_number": "510-255-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY LONGEVITY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "KUANG",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "415-218-2620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.