Active NPI
Sabra West Coast Operations IV, LLC
- Assisted Living Facility
- Tualatin, OR
National Provider Identifier
1477274272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SABRA WEST COAST OPERATIONS IV, LLC
- Practice address
- 17950 SW 115TH Ave
Tualatin, OR 97062-7044 - Phone
- (971) 252-4178
- NPI assigned
- Sep 9, 2022
- 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
- Jessica Flores
- Title
- Senior VP, Treasurer, Secretary
- Phone
- (949) 679-0398
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
17950 SW 115TH Ave
Tualatin, OR 97062-7044
Mailing address
18500 Von Karman Ave Ste 550
Irvine, CA 92612-0539
Phone (949) 679-0398
National Provider Directory
National Provider DirectoryLocations
18500 Von Karman Ave
Ste 550
Irvine, CA 92612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662681600000",
"number": "1477274272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18500 VON KARMAN AVE STE 550",
"city": "IRVINE",
"state": "CA",
"postal_code": "926120539",
"telephone_number": "949-679-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17950 SW 115TH AVE",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627044",
"telephone_number": "971-252-4178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SABRA WEST COAST OPERATIONS IV, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-09",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A",
"authorized_official_last_name": "FLORES",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "SENIOR VP, TREASURER, SECRETARY",
"authorized_official_telephone_number": "949-679-0398"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.