PRISM HEALTH INC. (NPI# 1417108085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417108085 |
| Entity Type | Organization |
| Organization Name | PRISM HEALTH INC. |
| Other Organization Name | ALISO LAGUNA VILLA |
| Practice Address |
24552 Pacific Park Dr Elderly Assisted Living/memory Care-dimentia Aliso Viejo CA 92656 |
| Mailing Address |
24552 Pacific Park Dr. Aliso Viejo CA 92656 |
| Practice Telephone | 9494258300 |
| Practice Fax Number | 9494258317 |
| Mailing Telephone | 9494258300 |
| Mailing Fax Number | 9494258317 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |
| Authorized Official Name | ZAREEN FAIZ (CEO) |
| Authorized Official Telephone | 9494258300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Aliso Laguna Villa | Doing Business As Name - Organization |
| Street Address |
24552 PACIFIC PARK DR ELDERLY ASSISTED LIVING/MEMORY CARE-DIMENTIA |
| City | ALISO VIEJO |
| State | CA |
| Zip Code | 92656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699220004 | San Diego Professional Group, P. C. | Psychologist | 24552 Pacific Park Dr, Aliso Viejo, CA 92656-3033 | 2016-08-16 |
| 1275986077 | Ashley Yusam | Physician Assistant | 24552 Pacific Park Dr, Aliso Viejo, CA 92656-3033 | 2016-07-15 |
| 1063860534 | Laguna Treatment Hospital, LLC | Rehabilitation Hospital | 24552 Pacific Park Dr, Aliso Viejo, CA 92656 | 2016-05-25 |
| 1104273309 | Yen Anker | Nurse Practitioner | 24552 Pacific Park Dr, Aliso Viejo, CA 92656 | 2016-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818042 | Cynthia K Vu | Pharmacist | 5 Journey 140, Aliso Viejo, CA 92656 | 2020-07-15 |
| 1275175127 | Anavah Stephens | Student in an Organized Health Care Education/Training Program | 53 Southern Hills Dr, Aliso Viejo, CA 92656 | 2019-10-11 |
| 1427567288 | Rhonda Cheikh | Behavioral Analyst | 175 Woodcrest Ln, Aliso Viejo, CA 92656 | 2017-09-25 |
| 1407305253 | Iman Ashlee Habbas | Social Worker | 5 Mareblu # 100, Aliso Viejo, CA 92656 | 2016-09-21 |
| 1023463692 | Julie Lynn Vuksic | Dietitian, Registered | 34 Prairie Falcon, Aliso Viejo, CA 92656 | 2016-05-02 |
| 1326493396 | Allen Han | Acupuncturist | 1 Remington Lane, Aliso Viejo, CA 92656 | 2016-04-27 |
| 1588027288 | Shawn Kaye | Internal Medicine | 26671 Aliso Creek Rd Ste 206, Aliso Viejo, CA 92656 | 2016-03-30 |
| 1528464443 | Lauren Harness | Occupational Therapy Assistant | 2 Enterprise Apt 11117, Aliso Viejo, CA 92656 | 2014-11-05 |
| 1700200417 | Cornel Crasnean Dds | Dentist | 26888 B South La Paz Road, Aliso Viejo, CA 92656 | 2014-02-17 |
| 1215350467 | Reza M. Birjandi D.d.s.,a Professional Dental Corporation | Dentist | 15 Mareblu Suite 360, Aliso Viejo, CA 92656 | 2014-01-23 |
| Find all providers in zip 92656 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1871192682 | Pacifica Sfo LLC | Assisted Living Facility | 624 Laguna St, San Francisco, CA 94102-4217 | 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 |
| Find all providers with the same taxonomy | ||||
| City | ALISO VIEJO |
| Zip Code | 92656 |
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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.