PORTOLA MGMT BSD LLC NPI 1285545285

NPI Information

  • NPI: 1285545285
  • Provider Name: PORTOLA MGMT BSD LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 350 UNIVERSITY ST
    SAN FRANCISCO, CA
    ZIP 94134
  • Phone: (212) 624-2776

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NPI Details

PORTOLA MGMT BSD LLC is an assisted living facility in San Francisco, CA. The provider is 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. PORTOLA MGMT BSD LLC NPI is 1285545285. The provider is registered as an organization entity type.

The provider's business location address is:

350 UNIVERSITY ST
SAN FRANCISCO, CA
ZIP 94134-635
Phone: (212) 624-2776

The provider's authorized official is Nadav Ichaki .
The authorized official title is Owner and has the following contact phone number (212) 624-2776.

The enumeration date for this NPI number is 9/16/2026 and was last updated on 9/16/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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