Destiny la Palma Royale Retirement Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

306004691 Issued in CA

Legal business name

DESTINY LA PALMA ROYALE RETIREMENT INC.

Practice address

525 W la Palma Ave
Anaheim, CA 92801-2432

Phone

(714) 991-3242

NPI assigned

Jul 21, 2017

Organization subpart

No

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

Authorized official

Name

Kyle Y Watanabe

Title

President

Phone

(714) 707-3212

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1265955298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 N BATAVIA ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675570",
            "telephone_number": "714-707-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012432",
            "telephone_number": "714-991-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY LA PALMA ROYALE RETIREMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-707-3212"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "306004691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Saurabh Desai
• Naushil Desai, D.M.D.
• Yasmin Maia Desai, DDS
• Xenia Marissa Desantiago
• Sarah Deson
• Cheryl E. Deters
• Marynell Dethero
• Ellen Detwiler, NP
• Deepthi Devagudi, MD
• Devank LLC

• Assisted Living Facility in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.