Ocean Breeze Retirement Villa

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

374603682 Issued in CA

Legal business name

OCEAN BREEZE RETIREMENT VILLA

Practice address

93 Avenida Descanso
Oceanside, CA 92057-6041

Phone

(919) 649-9964

Fax

(760) 231-9247

NPI assigned

Jun 10, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Sarah Baydo

Title

Administrator

Phone

(919) 649-9964

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1821447665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 AVENIDA DESCANSO",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576041",
            "telephone_number": "919-649-9964",
            "fax_number": "760-231-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 AVENIDA DESCANSO",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576041",
            "telephone_number": "919-649-9964",
            "fax_number": "760-231-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN BREEZE RETIREMENT VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "BAYDO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-649-9964",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "374603682",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "374603682",
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "374603682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Jacob Obando
• David John Oblon, MD
• Portia Obrien
• Dianne Lyn Vasquez Ocan, MSN, APRN, FNP
• Occupational Health Centers of California, a Medical Corporation
• Ocean Ranch Dentistry
• Oceanside Blvd Chiropractic
• Oceanside Dental Group
• Oceanside Diagnostics LLC
• Oceanside Foot & Ankle Center Inc.

• Alzheimer Center (Dementia Center) in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.