NPIMap

Organization Active NPI

Kali West, LLC

Doing business as Villa Kali Ma

  • Substance Abuse Rehabilitation Facility
  • Carlsbad, CA
National Provider Identifier
1164968590
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
370154AP Issued in CA
Legal business name
KALI WEST, LLC
Doing business as
Villa Kali Ma
Practice address
2912 Managua PL
Carlsbad, CA 92009-7105
Phone
(619) 246-8862
Fax
(760) 683-5152
NPI assigned
Jan 9, 2017
Last updated
Jan 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Kay White
Title
Ceo
Phone
(619) 246-8862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 370154AP CA Primary

Addresses

Primary practice location

2912 Managua PL
Carlsbad, CA 92009-7105

Mailing address

2912 Managua PL
Carlsbad, CA 92009-7105
Phone (619) 246-8862

Other names 1

  • Villa Kali Ma Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kali West LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1164968590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 MANAGUA PL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920097105",
            "telephone_number": "619-246-8862",
            "fax_number": "760-683-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 MANAGUA PL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920097105",
            "telephone_number": "619-246-8862",
            "fax_number": "760-683-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALI WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-246-8862"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "370154AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Kali Ma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.