Active NPI
Portola MGMT BSD LLC
- Assisted Living Facility
- San Francisco, CA
National Provider Identifier
1285545285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- PORTOLA MGMT BSD LLC
- Practice address
- 350 University St
San Francisco, CA 94134-1635 - Phone
- (212) 624-2776
- NPI assigned
- Sep 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nadav Ichaki
- Title
- Owner
- Phone
- (212) 624-2776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
350 University St
San Francisco, CA 94134-1635
Mailing address
350 University St
San Francisco, CA 94134-1635
Phone (212) 624-2776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1285545285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 UNIVERSITY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941341635",
"telephone_number": "212-624-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 UNIVERSITY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941341635",
"telephone_number": "212-624-2776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTOLA MGMT BSD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "ICHAKI",
"authorized_official_first_name": "NADAV",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-624-2776"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.