Portola Gardens LLC
Assisted Living Facility

Address: 350 University Street, San Francisco, CA 94143
Phone: 4153371587

Portola Gardens LLC (NPI# 1053803502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1053803502
Entity Type Organization
Organization Name PORTOLA GARDENS LLC
Practice Address 350 University Street
San Francisco
CA 94143
Practice Telephone 4153371587
Practice Fax Number 4153371573
Mailing Address 350 University Street
San Francisco
CA 94143
Mailing Telephone 4153371587
Mailing Fax Number 4153371573
Authorized Official Name Mr. Mark J. Cimino (LICENSEE)
Authorized Official Telephone 9167046275
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2018-05-31
Last Update Date 2018-05-31

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 310400000X Assisted Living Facility Nursing & Custodial Care Facilities 385600402 CA

Providers with the same name

NPI Name Taxonomy Address Enumeration
1215561444 Portola Gardens LLC Assisted Living Facility 350 University Street, San Francisco, CA 94134 2020-02-26

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

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1215561444 Portola Gardens LLC Assisted Living Facility 350 University Street, San Francisco, CA 94134 2020-02-26
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Office Location

Street Address 350 UNIVERSITY STREET
City SAN FRANCISCO
State CA
Zip Code 94143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215561444 Portola Gardens LLC Assisted Living Facility 350 University Street, San Francisco, CA 94134 2020-02-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003436528 Christian Karl Antonio Nurse Practitioner 505 Parnassus Avennue, San Francisco, CA 94143 2020-04-24
1144859752 Reginald Nguyen Student in an Organized Health Care Education/Training Program 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 2020-04-06
1851929830 Jonathan Earl Freise Student in an Organized Health Care Education/Training Program Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 2020-03-27
1275160046 Sang Minh Nguyen Student in an Organized Health Care Education/Training Program 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 2020-03-23
1780239954 Rishabh Pravin Acharya Dentist 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 2019-08-05
1306307442 Kayla Zamora Student in an Organized Health Care Education/Training Program 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 2019-03-30
1730649021 Elizabeth Larken Burch Student in an Organized Health Care Education/Training Program Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 2019-03-22
1831675065 Denise Pamela Chang Anesthesiology 513 Parnassus Ave ., S436, San Francisco, CA 94143 2018-07-11
1003304155 Sharon Chiang Student in an Organized Health Care Education/Training Program 505 Parnassus Ave, M798, San Francisco, CA 94143 2018-04-24
1346744372 Benjamin Li Student in an Organized Health Care Education/Training Program 505 Parnassus Ave Ste L75, San Francisco, CA 94143 2018-03-23
Find all providers in zip 94143

Competitor

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City SAN FRANCISCO
Zip Code 94143

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Dataset Information

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.

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