PORTOLA GARDENS LLC (NPI# 1215561444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215561444 |
| Entity Type | Organization |
| Organization Name | PORTOLA GARDENS LLC |
| Practice Address |
350 University Street San Francisco CA 94134 |
| Practice Telephone | 4153371587 |
| Practice Fax Number | 4153371573 |
| Mailing Telephone | 4153371587 |
| Mailing Fax Number | 4153371573 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | MARK J CIMINO (LICENSEE) |
| Authorized Official Telephone | 9164869639 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053803502 | Portola Gardens LLC | Assisted Living Facility | 350 University Street, San Francisco, CA 94143 | 2018-05-31 |
| Street Address |
350 UNIVERSITY STREET |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053803502 | Portola Gardens LLC | Assisted Living Facility | 350 University Street, San Francisco, CA 94143 | 2018-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663990 | Maricela Medina Gonzalez | Counselor | Alternative Family Services, 250 Executive Park Blvd, San Francisco, CA 94134 | 2020-03-03 |
| 1245721562 | Jayla Linda Edwards | Behavioral Analyst | 1888 Geneva Ave Unit 714, San Francisco, CA 94134 | 2018-05-22 |
| 1104343201 | Moson Wong | Physical Therapy Assistant | 1526 Visitacion Ave, San Francisco, CA 94134 | 2017-08-29 |
| 1174908271 | Paola Christina Martins Johnson | Counselor | 250 Executive Park Blvd., Suite 4900, San Francisco, CA 94134 | 2015-07-30 |
| 1578900452 | Lydia Hui-ling Chan | Internal Medicine | 2674 San Bruno Avenue, San Francisco, CA 94134 | 2013-05-31 |
| 1285929034 | Alternative Family Services | Counselor | 2500 Executive Park Boulevard, San Francsico, CA 94134 | 2011-06-09 |
| 1497902647 | Aurora Concepcion | Community Based Residential Treatment Facility, Mental Illness | 1821 Silliman St., San Francisco, CA 94134 | 2008-08-19 |
| 1750503926 | Miriam Toveg | Acupuncturist | 1085 Valencia Streetsan Francisco, San Francisco, CA 94134 | 2007-05-03 |
| 1427272293 | James William Hopkins | Registered Nurse | 46 Wabash Terrace, San Francisco, CA 94134 | 2007-04-12 |
| 1669546677 | Philip Chow | Pediatrics | 2574 San Bruno Avenue, San Francisco, CA 94134 | 2006-11-20 |
| Find all providers in zip 94134 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192682 | Pacifica Sfo LLC | Assisted Living Facility | 624 Laguna St, San Francisco, CA 94102-4217 | 2020-10-22 |
| 1306479696 | Hafco Elder Care | Assisted Living Facility | 1420 Hampshire St, San Francisco, CA 94110-4818 | 2020-02-15 |
| 1053803502 | Portola Gardens LLC | Assisted Living Facility | 350 University Street, San Francisco, CA 94143 | 2018-05-31 |
| 1093256315 | Sunset Care Home Inc. | Assisted Living Facility | 1367 39th Ave, San Francisco, CA 94122-1340 | 2017-03-20 |
| 1760701486 | Lyricete, LLC | Assisted Living Facility | 279 Teddy Ave Apt A, San Francisco, CA 94134-2339 | 2010-05-19 |
| 1538244405 | Timberlake Forrest Inc | Assisted Living Facility | 1133 South Van Ness Avenue, San Francisco, CA 94110 | 2006-10-26 |
| 1477094928 | Sunset Care Home Inc. | Assisted Living Facility | 1434 7th Ave, San Francisco, CA 94122-3703 | 2017-03-16 |
| 1013231414 | Impaq Rehab Specialist | Assisted Living Facility | 178 Denslowe Dr, San Francisco, CA 94132-2035 | 2010-03-15 |
| 1992027049 | Impaq Rehabilitation Servicesan | Assisted Living Facility | 178 Denslowe Dr, San Francisco, CA 94132-2035 | 2010-02-17 |
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| 1710588165 | Nana's Garden II | Assisted Living Facility | 25312 Ericson Way, Laguna Hills, CA 92653-5054 | 2020-11-03 |
| 1609476589 | Southbay Care Home, Inc. | Assisted Living Facility | 19917 Anza Avenue, Torrance, CA 90503-2005 | 2020-10-29 |
| 1821697434 | Global Regency Senior Care Services, LLC | Assisted Living Facility | 117 E 8th St, Long Beach, CA 90813-4397 | 2020-10-23 |
| 1689273419 | Pacifica Slo LLC | Assisted Living Facility | 475 Marsh St, San Luis Obispo, CA 93401-6108 | 2020-10-22 |
| 1528667367 | Pacifica Sierra Vista Lp | Assisted Living Facility | 13815 Rodeo Dr, Victorville, CA 92395-5600 | 2020-10-22 |
| 1992304737 | West Lyons Lp | Assisted Living Facility | 24305 Lyons Ave, Newhall, CA 91321-2344 | 2020-10-22 |
| 1619576451 | Pacifica Orange County LLC | Assisted Living Facility | 2619 Orange Ave, Costa Mesa, CA 92627-4630 | 2020-10-22 |
| 1720687551 | P San Leandro Lp | Assisted Living Facility | 348 W Juana Ave, San Leandro, CA 94577-3661 | 2020-10-22 |
| 1952900730 | Pacifica Daly LLC | Assisted Living Facility | 995 E Market St, Daly City, CA 94014-2168 | 2020-10-22 |
| 1144829979 | Pacifica San Bernardino LLC | Assisted Living Facility | 1371 Parkside Dr, San Bernardino, CA 92404-5324 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94134 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.