Serra Sol San Juan Capistrano

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERRA SOL SAN JUAN CAPISTRANO

Practice address

31451 Avenida Los Cerritos
San Juan Capistrano, CA 92675-1708

Phone

(949) 485-2022

NPI assigned

Jun 12, 2025

Organization subpart

No

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

Authorized official

Name

Stacy Randels

Title

VP Asset Management

Phone

(531) 800-3364

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1710872247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31451 AVENIDA LOS CERRITOS",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751708",
            "telephone_number": "949-485-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31451 AVENIDA LOS CERRITOS",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751708",
            "telephone_number": "949-485-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERRA SOL SAN JUAN CAPISTRANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "RANDELS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "VP ASSET MANAGEMENT",
        "authorized_official_telephone_number": "531-800-3364"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.