Seville Circle Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SEVILLE CIRCLE INC.

Practice address

1900 Grismer Ave.
Burbank, CA 91504

Phone

(818) 843-3141

Fax

(818) 843-5732

NPI assigned

Aug 11, 2015

Organization subpart

Yes

Parent organization

SEVILLE CIRCLE INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raul Parrado

Title

Licensee/Administrator

Phone

(714) 496-1630

Specialties & licenses 3

Addresses

Other names 1

• LeBleu Chateau Blue Doing business as

Tax ID family

Seville Circle Inc4 organizations share this tax ID, including this one

Part of

Seville Circle Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Le Bleu Chateau - Blue

  • Assisted Living Facility
  • Burbank, CA
  • NPI 1447675079
  NPD tax ID
• Le Bleu Chateau - Gold

  • Assisted Living Facility
  • Burbank, CA
  • NPI 1215352844
  NPD tax ID
• Seville Circle Inc.

  • Alzheimer Center (Dementia Center)
  • Burbank, CA
  • NPI 1417333998
  NPD tax ID

Locations

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1477929628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 GRISMER AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91504",
            "telephone_number": "818-843-3141",
            "fax_number": "818-843-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GRISMER AVE.",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91504",
            "telephone_number": "818-843-3141",
            "fax_number": "818-843-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVILLE CIRCLE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEVILLE CIRCLE INC",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "PARRADO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "714-496-1630"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LeBleu Chateau Blue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessi Rae Serra, BCBA
• Brenda Serrano
• Gerardo Serrano
• Talin Eva Setaghian, PHARM. D.
• Seville Circle Inc.
• Laura Fae Sgro, LCSW
• Diana Shaboyan, D.C.
• Judy A Shachory, MFT
• Bharat H Shah, MD
• Shahan Yacoubian Medical Corporation

• Assisted Living Facility in Burbank, CA
• Providers in Burbank, 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 Aug 11, 2015; 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.