Organization Active NPI

Sabra West Coast Operations IV, LLC

  • Assisted Living Facility
  • Tualatin, OR
National Provider Identifier
1477274272
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Sep 9, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.