Park Sacramento Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

3470000705 Issued in CA

Legal business name

PARK SACRAMENTO ASSISTED LIVING LLC

Practice address

1922 Morse Ave
Sacramento, CA 95825-2136

Phone

(916) 482-7745

Fax

(916) 482-6245

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Jocelyn Sanchez

Title

Office Manager

Phone

(209) 365-4020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831243344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 TIENDA DR",
            "address_2": "STE 203",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423930",
            "telephone_number": "209-365-4020",
            "fax_number": "209-367-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 MORSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252136",
            "telephone_number": "916-482-7745",
            "fax_number": "916-482-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SACRAMENTO ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-365-4020"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "3470000705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Parilo, MPA, PA-C
• Paris E. Royo, MD Inc
• Nikole Marie Parise-Simeon
• Caitlin Marie Parish
• Daniel Parish, DDS
• Eun Young Park-Stauber
• Brian Duke Park, M.D.
• Brian Edward Wong Park, O.D.
• Carey Park, ASW
• Chan H. Park, MD

• Assisted Living Facility in Sacramento, CA
• Providers in Sacramento, 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 Aug 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.