Pacifica Riverside SL LP

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

PACIFICA RIVERSIDE SL LP

Practice address

6280 Clay St
Riverside, CA 92509-6005

Phone

(951) 360-1616

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Addresses

Other names 1

• Cottages at Riverside Doing business as

Locations

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1992304729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 CLAY ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925096005",
            "telephone_number": "951-360-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 CLAY ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925096005",
            "telephone_number": "951-360-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA RIVERSIDE SL LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "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": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottages at Riverside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Grove Hospital
• Pacific Manor Recovery LLC
• Pacific Professional Surgical Group Inc
• Pacific Pulmonary Care
• Pacifica Health & Wellness Clinic, Inc.
• Justin William Packham, MA, AMFT, APCC
• Ellen Cayman Pacson, M.D.
• Monica Padilla Gonzalez, DPT
• Oscar Rene Padilla Moreno
• Jennifer J Padilla-Valenzuela

• Alzheimer Center (Dementia Center) in Riverside, CA
• Providers in Riverside, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.