La Jolla Casa Fiesta, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LA JOLLA CASA FIESTA, LLC

Practice address

5426 Avenida Fiesta
La Jolla, CA 92037-7202

Phone

(858) 245-3766

Fax

(858) 771-1231

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Gus Fernandez

Title

Empoyee

Phone

(858) 245-3766

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1316724792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 LOMAS SANTA FE DR # C-357",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752141",
            "telephone_number": "858-245-3766",
            "fax_number": "858-771-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 AVENIDA FIESTA",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377202",
            "telephone_number": "858-245-3766",
            "fax_number": "858-771-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JOLLA CASA FIESTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "EMPOYEE",
        "authorized_official_telephone_number": "858-245-3766"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Jolla Anesthesia Associates LP
• La Jolla Anesthesia Services, Apnc
• La Jolla Behavior Services LLC
• La Jolla Cardiovascular & Thoracic Surgeons Medical Associates
• La Jolla Cardiovascular Research Institute, Inc
• La Jolla Center for Facial Plastic Surgery
• La Jolla Cosmetic Laser Clinic Inc
• La Jolla Discount Compounding
• La Jolla Emergency Specialists
• La Jolla Endoscopy Center LP

• Assisted Living Facility in La Jolla, CA
• Providers in La Jolla, 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 Sep 11, 2023; 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.