Evangelina Jacy
Evangelina Jacy is a provider specialising in Assisted Living Facility in San Jose, CA, registered under NPI 1003365180. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
Here is what surrounds this office in San Jose, based on OpenStreetMap data collected Sep 21, 2026. Parking is available about 0.31 mi away. The nearest transit stop is 0.45 mi away, served by Hostetter Road & North Capitol Avenue. If you arrive early, there is a coffee shop 0.40 mi away.
Getting here and what is nearby
Parking 308 ft ~2 min
Parking 0.29 mi ~6 min
Parking 0.31 mi ~7 min
Gas station Valero 0.34 mi ~7 min
Restaurant Popeyes 0.37 mi ~8 min
1671 North Capitol Avenue, San Jose 95132
10:30-22:00
Restaurant The Jelly Donut 0.38 mi ~8 min
2665 Cropley Avenue, San Jose 95132
Mo-Sa 05:00-19:00 Su 05:00-14:00
Coffee Tisane 0.40 mi ~9 min
2671 Cropley Avenue, San Jose 95132
Grocery Đại Thành Supermarket 0.41 mi ~9 min
1641 North Capitol Avenue, San Jose 95132
Gas station Shell 0.42 mi ~9 min
Transit Hostetter Road & Agua Vista Drive 0.44 mi ~9 min
Convenience Shell 0.44 mi ~9 min
1601 North Capitol Avenue, San Jose 95132
Transit Morrill Avenue & Valhalla Drive 0.45 mi ~9 min
Transit Hostetter Road & North Capitol Avenue 0.45 mi ~9 min
Restaurant Pho Dao Restaurant 0.45 mi ~9 min
1631 North Capitol Avenue, San Jose 95132
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 435201652 | CA | Assisted Living Facility primary |
This provider holds licence 435201652 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Assisted Living Facility covers
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. NUCC Health Care Provider Taxonomy, code 310400000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003365180 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 29, 2016 |
| Last updated | Sep 29, 2016 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Female |
| Practice address |
1820 BETHANY AVE San Jose, CA 95132 (408) 250-2568 Fax (408) 729-3282 |
| Mailing address |
1824 BETHANY AVE San Jose, CA 95132 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 3 | 6 | 5 | 1 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 6 | 6 | 1 | 1 | 7 |
Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.