NPIMap

Organization Active NPI

Kahrizak Foundation Dba Noor Active Living

  • Assisted Living Facility
  • Santa Clara, CA
National Provider Identifier
1689167595
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
435202271 Issued in CA
Legal business name
KAHRIZAK FOUNDATION DBA NOOR ACTIVE LIVING
Practice address
1818 Scott Blvd
Santa Clara, CA 95050-3722
Phone
(408) 380-4036
Fax
(408) 642-5700
NPI assigned
Jun 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Nazila Safari
Title
Executive Director
Phone
(408) 380-4036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 435202271 CA Primary

Addresses

Primary practice location

1818 Scott Blvd
Santa Clara, CA 95050-3722

Mailing address

1818 Scott Blvd
Santa Clara, CA 95050-3722
Phone (408) 380-4036

Other names 1

  • Noor Active Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kahrizak Foundation Dba Noor Active Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1818 Scott Blvd
Santa Clara, CA 95050
Phone (408) 380-4036

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1689167595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 SCOTT BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950503722",
            "telephone_number": "408-380-4036",
            "fax_number": "408-642-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 SCOTT BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950503722",
            "telephone_number": "408-380-4036",
            "fax_number": "408-642-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHRIZAK FOUNDATION DBA NOOR ACTIVE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SAFARI",
        "authorized_official_first_name": "NAZILA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-380-4036",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "435202271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noor Active Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Noor Active Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.