Active NPI
Vista la Mesa Senior Living Inc.
- Assisted Living Facility
- La Mesa, CA
National Provider Identifier
1013623073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- VISTA LA MESA SENIOR LIVING INC.
- Practice address
- 5480 Marengo Ave
La Mesa, CA 91942-2408 - Phone
- (619) 463-0281
- NPI assigned
- Jan 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Bender
- Title
- Vice President/Director
- Phone
- (310) 430-2944
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
5480 Marengo Ave
La Mesa, CA 91942-2408
Mailing address
100 N Barranca St Ste 200
West Covina, CA 91791-1651
Other names 1
- Grossmont Gardens Senior Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0693311 | Vista la Mesa Senior Living, Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Grossmont Gardens Memory Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- La Mesa, CA
- NPI 1073213294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1013623073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N BARRANCA ST STE 200",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917911651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 MARENGO AVE",
"city": "LA MESA",
"state": "CA",
"postal_code": "919422408",
"telephone_number": "619-463-0281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTA LA MESA SENIOR LIVING INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-24",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A",
"authorized_official_last_name": "BENDER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "VICE PRESIDENT/DIRECTOR",
"authorized_official_telephone_number": "310-430-2944"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grossmont Gardens Senior Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.