College Town Senior Retirement Villa Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLLEGE TOWN SENIOR RETIREMENT VILLA INC

Practice address

5252 Stone CT
San Diego, CA 92115-1121

Phone

(818) 284-2502

NPI assigned

Jul 21, 2023

Organization subpart

No

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

Authorized official

Name

Anna Petrosyan, ANNA PETROSYAN

Title

Ceo

Phone

(818) 284-2502

Specialties & licenses 1

Addresses

Other names 1

• COLLEGE TOWN SENIOR RETIREMENT VILLA INC Doing business as

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1295415412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 STONE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151121",
            "telephone_number": "818-284-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 STONE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151121",
            "telephone_number": "818-284-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE TOWN SENIOR RETIREMENT VILLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-284-2502",
        "authorized_official_credential": "ANNA PETROSYAN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLLEGE TOWN SENIOR RETIREMENT VILLA INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Apr 15, 2025; 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.