Pacifica Menifee Valley Opco LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PACIFICA MENIFEE VALLEY OPCO LP

Doing business as

Menifee Senior Living

Practice address

28333 Valley Blvd
Sun City, CA 92586-2407

Phone

(951) 679-8811

NPI assigned

Apr 4, 2024

Last updated

May 28, 2025By the provider in NPPES

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

General Manager

Phone

(619) 296-9000

Specialties & licenses 2

Addresses

Other names 1

• Menifee Senior Living Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Michael De Wenter, DPM

  • Podiatrist
  • Lake Elsinore, CA
  • NPI 1376569194
  NPD (past)

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1427800127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28333 VALLEY BLVD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862407",
            "telephone_number": "951-679-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28333 VALLEY BLVD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862407",
            "telephone_number": "951-679-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA MENIFEE VALLEY OPCO LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "ISRANI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "619-296-9000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Menifee Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elena Nicola, PA-C
• Ofa Vale, Inc. (Sarahs Assisted Living)
• Oscar a Matthews M.D. (Mission Heart & Vascular Clinic,INC.)
• Jessica1 Otte, RBT
• John Overman, M.D.
• Hetal P Patel
• Nathan Pavoni, P.T., D.P.T.
• David Jay Petro
• Premier Hospitalist and Post-Acute Group, Inc
• Charles David Pumphrey, M.D.

• Assisted Living Facility in Sun City, CA
• Providers in Sun City, 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 May 28, 2025; 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.