MEDICARE: PACIFIC GARDENS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1982568499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PACIFIC GARDENS

Provider Business Mailing Address
First Line	:	120 HAWKESBURY WAY
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94591-4336
Country	:	US
Telephone Number	:	760-296-7562
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 HAWKESBURY WAY
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94591-4336
Country	:	US
Telephone Number	:	760-296-7562
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KRISTINE BERNARDINO
Credential	:
Telephone Number	:	760-296-7562

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “PACIFIC GARDENS ” Practice Location

Language	Start Address	Practice Location

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