TPD del Dios LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

374603664 Issued in CA

Legal business name

TPD DEL DIOS LLC

Doing business as

Vista Del Lago Memory Care

Practice address

1817 Avenida del Diablo
Escondido, CA 92029-3112

Phone

(760) 741-2888

NPI assigned

Apr 24, 2017

Last updated

Apr 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Kirby

Title

Ceo

Phone

(619) 201-5888

Specialties & licenses 1

Addresses

Other names 1

• Vista Del Lago Memory Care Doing business as

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1043745417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 AVENIDA DEL DIABLO",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920293112",
            "telephone_number": "760-741-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 AVENIDA DEL DIABLO",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920293112",
            "telephone_number": "760-741-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPD DEL DIOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-201-5888"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "374603664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Del Lago Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayley Totah
• Tyrone Dashawn Totten
• Elie Touma, DPM
• Celina Maria Toves
• Tiffany Townsend, RN
• Candace Tracy, RBT
• Rose Denise Trammell
• Rajah Trampus
• Alda Tran
• Dat Tri Tran, PHARM.D.

• Alzheimer Center (Dementia Center) in Escondido, CA
• Providers in Escondido, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.