CCW la Jolla, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CCW LA JOLLA, LLC

Doing business as

Vi at La Jolla Village

Practice address

8515 Costa Verde Blvd
San Diego, CA 92122-1130

Phone

(858) 646-7700

NPI assigned

Mar 22, 2019

Last updated

Oct 24, 2025By 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

Tomek J Koszylko

Title

Counsel

Phone

(312) 803-8443

Specialties & licenses 1

Addresses

Other names 1

• Vi at La Jolla Village Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

CCW la Jolla LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CCW la Jolla, LLC

  • Skilled Nursing Facility
  • San Diego, CA
  • NPI 1972574507
  NPD tax ID

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1154881464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S WACKER DR STE 8400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066316",
            "telephone_number": "312-803-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 COSTA VERDE BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221130",
            "telephone_number": "858-646-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCW LA JOLLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "KOSZYLKO",
        "authorized_official_first_name": "TOMEK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COUNSEL",
        "authorized_official_telephone_number": "312-803-8443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vi at La Jolla Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alejandro Cazessus
• Juan Luis Cazessus
• Marlie Cazier
• Francesca Elena Traber Cazzulino, MD
• CCTC, Corp
• CCW la Jolla, LLC
• CDM Health Care Inc. (Always Best Care Senior Services)
• CDM Living Life, Inc. (Always Best Care Senior Services)
• German Cea
• Tiffany Costa Cearley

• Assisted Living Facility in San Diego, CA
• Providers in San Diego, 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 Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.