Organization Active NPI

Pri Sunol LLC

Doing business as Sunol Creek Memory Care

  • Assisted Living Facility
  • Pleasanton, CA
National Provider Identifier
1891597878
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PRI SUNOL LLC
Doing business as
Sunol Creek Memory Care
Practice address
5980 Sunol Blvd
Pleasanton, CA 94566-8329
Phone
(925) 846-8283
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Nick Kavayiotidis
Title
Licensee
Phone
(925) 846-8283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5980 Sunol Blvd
Pleasanton, CA 94566-8329

Mailing address

5980 Sunol Blvd
Pleasanton, CA 94566-8329
Phone (925) 846-8283

Other names 1

  • Sunol Creek Memory Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1891597878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 SUNOL BLVD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945668329",
            "telephone_number": "925-846-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 SUNOL BLVD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945668329",
            "telephone_number": "925-846-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRI SUNOL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "KAVAYIOTIDIS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "925-846-8283"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunol Creek Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.