Pine Haven LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PINE HAVEN LLC

Practice address

4803 Christmas Tree LN
Bakersfield, CA 93306-1767

Phone

(818) 726-8078

Fax

(818) 279-7616

NPI assigned

Jun 6, 2025

Last updated

Jun 12, 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

Mr. Albert Ayvazyan

Title

Ceo

Phone

(818) 726-8078

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1467346049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N BRAND BLVD STE 860",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031274",
            "telephone_number": "818-726-8078",
            "fax_number": "818-279-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 CHRISTMAS TREE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933061767",
            "telephone_number": "818-726-8078",
            "fax_number": "818-279-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "AYVAZYAN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-726-8078",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Pimentel
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• Racquel Pina, M.D.
• Pinales DDS Dental Corp
• Marissa Lyn Pinckard, RN
• Pine Meadow Counseling Inc
• Pine Medical Transport LLC
• Pine Medical Transport LLC
• Gavyn Pine
• Artemio Pineda

• Assisted Living Facility in Bakersfield, CA
• Providers in Bakersfield, 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 Jun 12, 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.