Active NPI
Vista la Mesa Senior Living Inc.
- Assisted Living Facility
- La Mesa, CA
National Provider Identifier
1073213294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- VISTA LA MESA SENIOR LIVING INC.
- Practice address
- 4960 Mills St
La Mesa, CA 91942-9310 - Phone
- (619) 644-1100
- NPI assigned
- Mar 7, 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
- VP of Operations
- Phone
- (626) 430-9066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
4960 Mills St
La Mesa, CA 91942-9310
Mailing address
100 N Barranca St Ste 200
West Covina, CA 91791-1651
Other names 1
- Grossmont Gardens Memory Care
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 1013623073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1073213294",
"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": "4960 MILLS ST",
"city": "LA MESA",
"state": "CA",
"postal_code": "919429310",
"telephone_number": "619-644-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTA LA MESA SENIOR LIVING INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-07",
"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": "VP OF OPERATIONS",
"authorized_official_telephone_number": "626-430-9066"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grossmont Gardens Memory Care",
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.