Peninsula Senior Living Magnolia LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PENINSULA SENIOR LIVING MAGNOLIA LLC

Practice address

176 S Bernardo Ave
Sunnyvale, CA 94086-7038

Phone

(408) 807-1984

NPI assigned

Feb 28, 2025

Organization subpart

No

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

Authorized official

Name

Sunil Verma

Title

Admin

Phone

(408) 807-1984

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1669279246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 S BERNARDO AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940867038",
            "telephone_number": "408-807-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S BERNARDO AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940867038",
            "telephone_number": "408-807-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA SENIOR LIVING MAGNOLIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "408-807-1984"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.