PORTOLA GARDENS LLC
NPI 1053803502
Assisted Living Facility in San Francisco, CA

NPI Status: Active since May 31, 2018

Contact Information

350 UNIVERSITY STREET
SAN FRANCISCO, CA
ZIP 94143
Phone: (415) 337-1587
Fax: (415) 337-1573

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  • Organization
  • Assisted Living Facility

About PORTOLA GARDENS LLC

This page provides the complete NPI Profile along with additional information for Portola Gardens Llc, a provider established in San Francisco, California operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1053803502 assigned on May 2018. The practitioner's primary taxonomy code is 310400000X with license number 385600402 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Mark J. Cimino (Licensee)

NPI
1053803502
Provider Name
PORTOLA GARDENS LLC
Entity Type
Organization
Location Address
350 UNIVERSITY STREET SAN FRANCISCO, CA 94143
Location Phone
(415) 337-1587
Location Fax
(415) 337-1573
Mailing Address
350 UNIVERSITY STREET SAN FRANCISCO, CA 94143
Mailing Phone
(415) 337-1587
Mailing Fax
(415) 337-1573
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2018
Last Update Date
05-31-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
385600402
License State
CA
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARK J. CIMINO

Authorized Official Title
LICENSEE
Authorized Official Phone
(916) 704-6275

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053803502
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103160650
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 6 + 0 + 6 + 5 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1053803502 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053803502, enumerated in the NPI registry as an "organization" on May 31, 2018

The provider is located at 350 University Street San Francisco, Ca 94143 and the phone number is (415) 337-1587

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on May 31, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.