Legacy Senior Living

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

LEGACY SENIOR LIVING

Practice address

9645 Alto Dr
La Mesa, CA 91941-4445

Phone

(619) 729-6462

NPI assigned

Sep 17, 2015

Last updated

Sep 17, 2015By 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

Melinda Vaughn

Title

Ceo

Phone

(619) 729-6462

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1063881357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 ALTO DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 ALTO DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414445",
            "telephone_number": "619-729-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-729-6462"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kia Lee, MSN, ANP-BC
• Kimberly Donghee Lee, NP-C
• Patricia Yuang Lee, CPNP
• Sally Lee, MD, DO
• Yun Lee
• Kristen Legerton
• David William Lehman, M.D.
• Emily Lehn, RD
• Paula Leibham, NP
• Armando Leija, IDC

• Nursing Facility/Intermediate Care Facility in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.