Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PETAL GUEST HOME LLC
Active
Organization
PETAL GUEST HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BAGAOISAN (CO-OWNER)
(619) 414-0243
Entity
Organization
Contact information
Practice address
1531 PETAL CT, SAN DIEGO, CA 92114-6907
(619) 414-0243
Mailing address
1531 PETAL CT, SAN DIEGO, CA 92114-6907
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up