Seaside Terrace Holdings Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SEASIDE TERRACE HOLDINGS CORP

Doing business as

Seaside Terrace

Practice address

9925 La Alameda Ave
Fountain Valley, CA 92708-3548

Phone

(714) 962-5531

NPI assigned

Jul 26, 2023

Last updated

Jul 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tricia M Pedroza

Title

Ceo/Administrator

Phone

(858) 337-5674

Specialties & licenses 1

Addresses

Other names 1

• Seaside Terrace Doing business as

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1871274670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S SPARKS ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062744",
            "telephone_number": "858-337-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 LA ALAMEDA AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083548",
            "telephone_number": "714-962-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE TERRACE HOLDINGS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "PEDROZA",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "858-337-5674"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seaside Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fountain Valley, CA
• Providers in Fountain Valley, 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 Jul 26, 2023; 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.