Ktre1, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

KTRE1, LLC

Practice address

3219 Canon St.
San Diego, CA 92106

Phone

(619) 255-5616

Fax

(619) 255-1080

NPI assigned

Jul 3, 2019

Organization subpart

No

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

Authorized official

Name

Jeffrey Settineri

Title

Owner

Phone

(619) 255-5616

Specialties & licenses 2

Addresses

Other names 1

• Bayview Senior Assisted Living Doing business as

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1821650300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 CANON ST.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92106",
            "telephone_number": "619-255-5616",
            "fax_number": "619-255-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CANON ST.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92106",
            "telephone_number": "619-255-5616",
            "fax_number": "619-255-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTRE1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "SETTINERI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-255-5616"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayview Senior Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cristina Renee Krystek, LMFT
• Michael Joseph Krzyzaniak, M.D.
• KS Care LLC
• Larissa J Ksar, OTR/L
• Ktre1, LLC
• Ktre2, LLC
• Julie Ku, PHARMD
• Justine Ku
• Natalie Ku, M.D.
• Paw Ku

• Alzheimer Center (Dementia Center) in San Diego, CA
• Providers in San Diego, 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 3, 2019; 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.