Healthcare Provider Details

I. General information

NPI: 1851229413
Provider Name (Legal Business Name): BPG LOOMIS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 CHISOM TRL
LOOMIS CA
95650-8010
US

IV. Provider business mailing address

3400 CHISOM TRL
LOOMIS CA
95650-8010
US

V. Phone/Fax

Practice location:
  • Phone: 916-652-8000
  • Fax:
Mailing address:
  • Phone: 916-652-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: TREVOR ARTHUR OGDEN
Title or Position: DIRECTOR OF OPERATIONAL OPTIMIZATIO
Credential:
Phone: 530-356-8699