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

Active since May 31, 2018
350 UNIVERSITY STREET, SAN FRANCISCO, CA 94143(415) 337-1587(415) 337-1573 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Portola Gardens Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTOLA GARDENS LLC (NPI 1053803502) is a healthcare organization registered as an assisted living facility in San Francisco, California and active in the NPI registry since May 2018. The organization lists Mark J. Cimino, Licensee, as its authorized official.

NPPES Registry Identity

NPI1053803502
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePORTOLA GARDENS LLC
Location Address350 UNIVERSITY STREETSan Francisco, CA 94143
Mailing Address350 University StreetSan Francisco, CA 94143 · (415) 337-1587 · Fax (415) 337-1573
Phone(415) 337-1587
Fax(415) 337-1573
Organization SubpartNo
Authorized OfficialMark J. CiminoLicensee · (916) 704-6275
Enumeration DateMay 31, 2018
✔ NPI 1053803502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CA · 385600402
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.
350 UNIVERSITY STREET, San Francisco, CA 94143
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portola Gardens LLC's NPI number?

The NPI number for Portola Gardens LLC is 1053803502. It was assigned to this organization in the NPPES registry on May 31, 2018.

Where is Portola Gardens LLC located?

Portola Gardens LLC is located at 350 University Street, San Francisco, CA 94143. The listed phone number is (415) 337-1587.

What is Portola Gardens LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Portola Gardens LLC was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.