Villa Oasis San Diego Iop Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

VILLA OASIS SAN DIEGO IOP INC

Practice address

16516 Bernardo Center Dr Ste 130
San Diego, CA 92128-2575

Phone

(562) 413-5216

NPI assigned

May 2, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jesse Cook

Title

Program Director

Phone

(951) 675-8198

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1003663410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18463",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928178463",
            "telephone_number": "562-413-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16516 BERNARDO CENTER DR STE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282575",
            "telephone_number": "562-413-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA OASIS SAN DIEGO IOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "951-675-8198"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lola Vildavskaia, PHD
• Gary M Vilke, MD
• Cesia Villa Bello
• Villa del Mar 1 Corp.
• Giselle Villa Garcia, BCAT
• Aurora Villa Ortiz
• Villa Rancho Bernardo Health Care LLC
• Alicia Estefania Villa-Salazar, NHE
• Anissa Villa
• Arlene Marina Villa, ASW

• Substance Use Disorder Rehabilitation Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.