Organization Active NPI

Pacifica Daly LLC

  • Assisted Living Facility
  • Daly City, CA
National Provider Identifier
1952900730
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PACIFICA DALY LLC
Practice address
995 E Market St
Daly City, CA 94014-2168
Phone
(650) 756-1995
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Deepak Israni
Title
Owner
Phone
(619) 296-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

995 E Market St
Daly City, CA 94014-2168

Mailing address

995 E Market St
Daly City, CA 94014-2168
Phone (650) 756-1995

Other names 1

  • Pacifica Senior Living Mission Villa Doing business as

National Provider Directory

National Provider Directory

Locations

995 E Market St
Daly City, CA 94014
Phone (650) 756-1995

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1952900730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 E MARKET ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142168",
            "telephone_number": "650-756-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 E MARKET ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142168",
            "telephone_number": "650-756-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA DALY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "ISRANI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-296-9000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacifica Senior Living Mission Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daly City, CA

Sources for this page

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