Lassenpark Villa Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

LASSENPARK VILLA INC

Practice address

364 Lassenpark Cir
San Jose, CA 95136-2159

Phone

(408) 477-5522

Fax

(408) 320-2415

NPI assigned

Jan 29, 2026

Organization subpart

No

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

Authorized official

Name

Virgil Valin

Title

Administrator

Phone

(408) 477-5522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1124978135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 LASSENPARK CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362159",
            "telephone_number": "408-477-5522",
            "fax_number": "408-320-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 LASSENPARK CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362159",
            "telephone_number": "408-477-5522",
            "fax_number": "408-320-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASSENPARK VILLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "VALIN",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-477-5522"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in San Jose, CA
• Providers in San Jose, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.