Golden Coast Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2326667 Issued in CA

Legal business name

GOLDEN COAST SENIOR LIVING

Practice address

28562 Oso Pkwy # D-319
RSM, CA 92688-5595

Phone

(949) 533-4025

Fax

(949) 288-6255

NPI assigned

Jan 19, 2015

Last updated

Jan 8, 2020By 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

Usha Villarreal, RN

Title

Ceo

Phone

(949) 533-4025

Specialties & licenses 1

Addresses

Tax ID family

Golden Coast Senior Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Golden Coast Senior Living

  • Assisted Living Facility
  • Laguna Hills, CA
  • NPI 1528605540
  NPD tax ID
• Golden Coast Senior Living

  • Assisted Living Facility
  • Lake Forest, CA
  • NPI 1700423720
  NPD tax ID

Locations

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1922497650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28562 OSO PKWY # D-319",
            "city": "RSM",
            "state": "CA",
            "postal_code": "926885595",
            "telephone_number": "949-533-4025",
            "fax_number": "949-288-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28562 OSO PKWY # D-319",
            "city": "RSM",
            "state": "CA",
            "postal_code": "926885595",
            "telephone_number": "949-533-4025",
            "fax_number": "949-288-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN COAST SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-533-4025",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "2326667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Clapper, R.D.
• Doris a Muchirahodo (Let Talk Therapy)
• Cathy Marie Estrella, MPH
• Rodney Lockwood Hawkins, MPT
• Amy Healy
• Jin Hee Kim, M.D.
• Dorna Mahmoodi, PMHNP-BC
• Natalia Michaelson

• Assisted Living Facility in RSM, CA
• Providers in RSM, 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 Jan 8, 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.