P San Leandro LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

P SAN LEANDRO LP

Doing business as

Pacifica Senior Living San Leandro

Practice address

348 W Juana Ave
San Leandro, CA 94577-3661

Phone

(510) 357-1691

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Authorized official

Name

Deepak Israni

Title

Owner

Phone

(619) 296-9000

Specialties & licenses 1

Addresses

Other names 1

• Pacifica Senior Living San Leandro Doing business as

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1720687551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 W JUANA AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773661",
            "telephone_number": "510-357-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 W JUANA AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773661",
            "telephone_number": "510-357-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P SAN LEANDRO LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "ISRANI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-296-9000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacifica Senior Living San Leandro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yolanda J Owens
• Joanna Oyarzabal
• Maureen Oyarzo
• Jessica Oyemade
• Angelina Ozonsi
• Felix Pablo Pablo
• Lenaya Marie Pacheco-Langford
• Pacific Health Clinic Inc
• Pacific Pain Institute
• Pacific Pain Institute

• Assisted Living Facility in San Leandro, CA
• Providers in San Leandro, 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 Oct 22, 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.