Golden Coast Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOLDEN COAST SENIOR LIVING

Practice address

24152 Jagger St
Lake Forest, CA 92630-3658

Phone

(949) 533-4025

NPI assigned

Dec 9, 2019

Organization subpart

No

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

Authorized official

Name

Usha Villarreal

Title

Ceo

Phone

(949) 533-4025

Specialties & licenses 1

Addresses

Tax ID family

Golden Coast Senior Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Golden Coast Senior Living

  • Assisted Living Facility
  • Laguna Hills, CA
  • NPI 1528605540
  NPD tax ID
• Golden Coast Senior Living

  • Assisted Living Facility
  • RSM, CA
  • NPI 1922497650
  NPD tax ID

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1700423720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28562 OSO PKWY # D-319",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885595",
            "telephone_number": "949-533-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24152 JAGGER ST",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303658",
            "telephone_number": "949-533-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN COAST SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-533-4025"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Ray Glass, D.C.
• Jasmine Glenn, SLPA
• Robert H. Glover Jr., D.C.
• Tashura Glover
• Andrea Godinez
• Goldenwest Medical Services, LLC
• Angel Gomez
• Danielle Jane Gomez
• Kaitlan Elizabeth Gomez
• Leslie Gonzalez-Martinez

• All providers in Lake Forest, CA
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.