NPIMap

Organization Active NPI

Balboa Senior Care LLC

  • Assisted Living Facility
  • Orange, CA
National Provider Identifier
1598676033
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BALBOA SENIOR CARE LLC
Practice address
1669 N Fireside St
Orange, CA 92867-4015
Phone
(949) 994-2900
Fax
(714) 333-4412
NPI assigned
Sep 14, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Ahmed AttrahNPI 1407340763
Title
Administrator
Phone
(949) 994-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1669 N Fireside St
Orange, CA 92867-4015

Mailing address

1669 N Fireside St
Orange, CA 92867-4015
Phone (949) 994-2900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1598676033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 N FIRESIDE ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674015",
            "telephone_number": "949-994-2900",
            "fax_number": "714-333-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 N FIRESIDE ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674015",
            "telephone_number": "949-994-2900",
            "fax_number": "714-333-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALBOA SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "ATTRAH",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-994-2900"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.