Eastlake Villa Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EASTLAKE VILLA INC

Practice address

591 Arlene Dr
Watsonville, CA 95076-3518

Phone

(831) 228-1207

Fax

(831) 851-0080

NPI assigned

Feb 14, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Dexlier Casas GoNPI 1669235479

Title

Administrator

Phone

(213) 400-4341

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dexlier Casas Go

  • Assisted Living Facility
  • Watsonville, CA
  • NPI 1669235479
  NPD Authorized official

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1104681600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 ARLENE DR",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763518",
            "telephone_number": "831-228-1207",
            "fax_number": "831-851-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 ARLENE DR",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763518",
            "telephone_number": "831-228-1207",
            "fax_number": "831-851-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAKE VILLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "DEXLIER",
        "authorized_official_middle_name": "CASAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "213-400-4341",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Stuart Dover, M.D.
• Dr Sylvia K Lee, OD, PHD
• Dr. Adriana P. Mesa, DPT Physical Therapy
• Elizabeth Ann Dubois, RN,PHN
• Alejandra Dyez
• Lauren Elizabeth Eby, D.O.
• Emma Eccles
• Robert H Edmund, M.D.
• Aletia Giselle Egipciaco
• Dennis Sho Eguchi, D.D.S.

• Assisted Living Facility in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.