Pacifica L 24 LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PACIFICA L 24 LLC

Doing business as

Meridian At Lake San Marcos

Practice address

1177 San Marino Dr
San Marcos, CA 92078-4633

Phone

(760) 510-7500

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

• Meridian At Lake San Marcos 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": "1669071494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 SAN MARINO DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784633",
            "telephone_number": "760-510-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 SAN MARINO DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784633",
            "telephone_number": "760-510-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA L 24 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": "Meridian At Lake San Marcos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nima Osgo, PHARM D
• Diana Osman
• Kelsi Mikayla Otto
• Pacific Coastal Medical Group Professional Corporation
• Pacific Mobility Center, Inc
• Lindsay Pack
• Angela Padilla
• Mariana Sarai Padron
• Pain and Palliative Associates of Ca
• Young Pak

• Assisted Living Facility in San Marcos, CA
• Providers in San Marcos, 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.