Senior Coast Living, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SENIOR COAST LIVING, LLC

Practice address

8780 Elden Street
La Mesa, CA 91942-3211

Phone

(949) 244-9405

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Elianna Z. Reuben

Title

Ceo

Phone

(949) 244-9405

Specialties & licenses 1

Addresses

Other names 1

• Coastal Injury Care Center Doing business as

Locations

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1104363795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 ELDEN STREET",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423211",
            "telephone_number": "858-946-3100",
            "fax_number": "619-432-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 ELDEN STREET",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423211",
            "telephone_number": "949-244-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR COAST LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2022-01-31",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "REUBEN",
        "authorized_official_first_name": "ELIANNA",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-244-9405",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Injury Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Injury Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anisa Cristal Selph
• Semira Semino-Asaro, PMHNP-BC
• Meghan Seperack, IBCLC
• Alicia Sepulveda
• James Paul Serio, M.A., MFT
• Stanley Serisola
• Pablo Serrano Jr.

• Skilled Nursing Facility in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.