Pacaldo LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PACALDO LLC

Practice address

130 Vale St
Daly City, CA 94014-2516

Phone

(650) 393-0265

Fax

(650) 898-1553

NPI assigned

May 4, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Juliet Miranda Pacaldo, RN MSN

Title

Administrator

Phone

(650) 393-0265

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A & J Assisted Living Facility Doing business as

Locations

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1689257974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 VALE ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142516",
            "telephone_number": "650-393-0265",
            "fax_number": "650-898-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 VALE ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142516",
            "telephone_number": "650-393-0265",
            "fax_number": "650-898-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACALDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "PACALDO",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "MIRANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-393-0265",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN MSN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY",
            "identifier": "415601066",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A & J Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Daly City, CA
• Providers in Daly City, 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 May 4, 2021; 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.