Pacifica Senior Living Vacaville LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

PACIFICA SENIOR LIVING VACAVILLE LLC

Practice address

431 Nut Tree Rd
Vacaville, CA 95687-3508

Phone

(707) 449-1350

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

• Pacifica Senior Living Vacaville Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Elaine Fone, DPM

  • Podiatrist
  • Fairfield, CA
  • NPI 1386726347
  NPD (past)
• Penelope Aileene McAlmond Ross, PSY. D.

  • Clinical Psychologist
  • Springfield, MO
  • NPI 1417929381
  NPD (past)

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": "1255930095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873508",
            "telephone_number": "707-449-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873508",
            "telephone_number": "707-449-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA SENIOR LIVING VACAVILLE LLC",
        "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": "Pacifica Senior Living Vacaville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeri E. Owens, MD
• Louisa Owyang, RPH
• Aaliyah Ozturk, PSYD
• Jessica Ozuna
• Victor Michael Pacheco, PSYCHOLOGIST
• Paz Movido Pacifico, MD
• Dorothy J Padilla, OT
• Iosif Padurets, RN
• Joanne Eunjoo Paek, M.D.
• Sharon Regina Page-Pressley, PSY.D.

• Alzheimer Center (Dementia Center) in Vacaville, CA
• Providers in Vacaville, 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.