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KATELLA SENIOR LIVING COMMUNITY
NPI 1912942855
Assisted Living Facility in Los Alamitos, CA

Active since June 17, 2006CLIA 05D2142623 · Waiver
3952 KATELLA AVE, LOS ALAMITOS, CA 90720(562) 596-2773(562) 598-7992 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Katella Senior Living Community NPPES

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

KATELLA SENIOR LIVING COMMUNITY (NPI 1912942855) is a healthcare organization registered as an assisted living facility in Los Alamitos, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists John B Goodman, President Of General Partner, as its authorized official.

NPPES Registry Identity

NPI1912942855
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKTLA PROPERTIES LIMITED PARTNERSHIP
Location Address3952 KATELLA AVELos Alamitos, CA 90720-3304
Mailing Address1107 Hazeltine Blvd, Suite 200Chaska, MN 55318-1009 · (952) 361-8000 · Fax (952) 361-8058
Phone(562) 596-2773
Fax(562) 598-7992
Organization SubpartNo
Authorized OfficialJohn B GoodmanPresident Of General Partner · (952) 361-8000
Enumeration DateJune 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1912942855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
3952 KATELLA AVE, Los Alamitos, CA 90720
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Other Names 1

Doing Business AsKatella Senior Living Community

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2142623

Ktla Properties Limited Partnership Katella Senior Living Community · Los Alamitos, CA
Active · expires Jan 15, 2028
CLIA Number05D2142623
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorEtsegenet Ayele
Laboratory Phone(562) 596-2773
Laboratory LocationKtla Properties Limited Partnership Katella Senior Living Community3952 Katella Avenue, Los Alamitos, CA 90720
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIGBY CREEK SENIOR LIVING, INC.
Assisted Living Facility
3952 KATELLA AVE
LOS ALAMITOS, CA 90720
Orange County (562) 596-2773

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 Ktla Properties Limited Partnership's NPI number?

The NPI number for Ktla Properties Limited Partnership is 1912942855. It was assigned to this organization in the NPPES registry on June 17, 2006. The provider is doing business as Katella Senior Living Community.

Where is Ktla Properties Limited Partnership located?

Ktla Properties Limited Partnership is located at 3952 Katella Ave, Los Alamitos, CA 90720. The listed phone number is (562) 596-2773.

What is Ktla Properties Limited Partnership's specialty?

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

Does Ktla Properties Limited Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2142623) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ktla Properties Limited Partnership was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.