Healthcare Provider Details

I. General information

NPI: 1598683096
Provider Name (Legal Business Name): SF BAY AREA ASSISTED LIVING,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1589 BEECHWOOD AVE
SAN LEANDRO CA
94579-1218
US

IV. Provider business mailing address

35626 CHAPLIN DR
FREMONT CA
94536-2524
US

V. Phone/Fax

Practice location:
  • Phone: 510-789-3125
  • Fax: 510-789-3125
Mailing address:
  • Phone: 510-789-3125
  • Fax: 510-789-3125

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: ERMA CARBONELL TRIAS
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 510-789-3125