Cloisters of la Jolla Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

080000031 Issued in CA

Legal business name

CLOISTERS OF LA JOLLA INC

Doing business as

Shea Family Care La Jolla

Practice address

7160 Fay Ave
La Jolla, CA 92037-5511

Phone

(858) 459-4361

Fax

(858) 459-1386

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Mary Patricia Miller, 6194418771

Title

Chief Legal Counsel

Phone

(619) 441-8771

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shea Family Care La Jolla Doing business as

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1386657054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 FAY AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375511",
            "telephone_number": "858-459-4361",
            "fax_number": "858-459-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 FAY AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375511",
            "telephone_number": "858-459-4361",
            "fax_number": "858-459-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOISTERS OF LA JOLLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CHIEF LEGAL COUNSEL",
        "authorized_official_telephone_number": "619-441-8771",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "6194418771"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shea Family Care La Jolla",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David James Clayton, MD
• Rebecca Clement, PSY.D.
• Denis Clemente, PA
• Brian Taylor Clifford, M.D.
• Kelsey Clingingsmith
• Katelyn Cloyd, ND
• CMX Capital, LLC
• Coast Urology Medical Group, Inc
• Coastal ENT Medical Group Inc
• Coastal Medical and Cosmetic Dermatology Inc

• Skilled Nursing Facility in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.