Organization Active NPI

San Marcos SNF Operator LLC

  • Skilled Nursing Facility
  • San Marcos, CA
National Provider Identifier
1033098900
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SAN MARCOS SNF OPERATOR LLC
Doing business as
Village Square Healthcare Center
Practice address
1586 W San Marcos Blvd
San Marcos, CA 92078-4019
Phone
(760) 471-2986
NPI assigned
Aug 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Ira Smedra
Title
Manager
Phone
(323) 651-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1586 W San Marcos Blvd
San Marcos, CA 92078-4019

Mailing address

6300 Wilshire Blvd Ste 1800
Los Angeles, CA 90048-5236
Phone (323) 651-1808

Other names 1

  • Village Square Healthcare Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1033098900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WILSHIRE BLVD STE 1800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485236",
            "telephone_number": "323-651-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 W SAN MARCOS BLVD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784019",
            "telephone_number": "760-471-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MARCOS SNF OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "SMEDRA",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-651-1808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Square Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.