Our Lady of Fatima Villa

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

220000417 Issued in CA

Legal business name

OUR LADY OF FATIMA VILLA

Practice address

20400 Saratoga Los Gatos Road
Saratoga, CA 95070

Phone

(408) 741-2950

Fax

(408) 741-4930

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Bella O Mahoney

Title

Ceo Administrator

Phone

(408) 741-2950

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1689742785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20400 SARATOGA LOS GATOS ROAD",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950700000",
            "telephone_number": "408-741-2950",
            "fax_number": "408-741-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 SARATOGA LOS GATOS ROAD",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "95070",
            "telephone_number": "408-741-2950",
            "fax_number": "408-741-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF FATIMA VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "BELLA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "408-741-2950",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "220000417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05435F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald J Oleson, D.D.S.
• Melinda Reider Olsen, LMFT
• Optm Physical Therapy of Saratoga, Inc.
• Caitlyn Gray Kermit Oscarson, M.S. LMFT
• Somaia Osman
• Heather Charity Owens, DDS
• Ajay Pala
• Lynnea Palazzolo
• Jenny T Pan, MFT TRAINEE
• Jennifer Patane, M.A.

• Assisted Living Facility in Saratoga, CA
• Providers in Saratoga, 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 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.