Pacifica Burlingame LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PACIFICA BURLINGAME LP

Doing business as

Pacifica Senior Living Burlingame

Practice address

250 Myrtle Rd
Burlingame, CA 94010-3094

Phone

(650) 343-2747

NPI assigned

Apr 5, 2024

Last updated

Apr 5, 2024By 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

• Pacifica Senior Living Burlingame Doing business as

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1467204990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MYRTLE RD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103094",
            "telephone_number": "650-343-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MYRTLE RD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103094",
            "telephone_number": "650-343-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA BURLINGAME LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacifica Senior Living Burlingame",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yiling Ouyang
• Jason Overby, NP
• Viliegh Ann Pabalate
• Mandeep Pabla, DO
• Pacific Myofascial Release LLC (Pacific Myofascial Release)
• Cathy Padelford
• Pooja Pal, PT, DPT
• Lindsay Palmer, NP
• Michael Anthony Palmere
• Pamela J. Fong, O.D.

• Assisted Living Facility in Burlingame, CA
• Providers in Burlingame, 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 Apr 5, 2024; 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.