Half Moon Bay Holdings LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HALF MOON BAY HOLDINGS LLC

Doing business as

WESTGATE VILLA

Practice address

5425 Mayme Ave
San Jose, CA 95129-4833

Phone

(408) 455-3247

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Toby Tilford

Title

Co-Ceo

Phone

(858) 774-8342

Specialties & licenses 1

Addresses

Other names 1

• WESTGATE VILLA Doing business as

Locations

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1528672789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16885 W BERNARDO DR STE 216",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271620",
            "telephone_number": "858-798-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 MAYME AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294833",
            "telephone_number": "408-455-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALF MOON BAY HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "TILFORD",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "858-774-8342"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTGATE VILLA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Catherine Ksenia Halden
• William Nathan Hale
• Haleh Karimian, D.D.S., Inc.
• Haleh Merat DDS a Professional Corporation
• Zenaht Halekosai
• Dawn Dimitrius Haliburton-Rudy
• Alma V Halili
• Adrienne Margaret Hall
• Arthur Warren Hall
• Audrey Elizabeth Hall, M.D.

• Assisted Living Facility in San Jose, CA
• Providers in San Jose, 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 Sep 4, 2020; 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.