Pacifica Oakland LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PACIFICA OAKLAND LLC

Practice address

2361 E 29TH St
Oakland, CA 94606-3511

Phone

(510) 534-3637

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Authorized official

Name

Deepak Israni

Title

Owner

Phone

(619) 296-9000

Specialties & licenses 1

Addresses

Other names 1

• Pacifica Senior Living Oakland Heights Doing business as

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1538768353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 E 29TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946063511",
            "telephone_number": "510-534-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 E 29TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946063511",
            "telephone_number": "510-534-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA OAKLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "ISRANI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-296-9000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacifica Senior Living Oakland Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jin Packard, MD
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• Tessa Padilla Padilla Fisher
• Jose Ignacio Padilla-Hernandez
• Jocelyn Padilla-Jauregui

• Assisted Living Facility in Oakland, CA
• Providers in Oakland, 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 Oct 22, 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.