Vista Veranda Village Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VISTA VERANDA VILLAGE CORPORATION

Doing business as

Vista Veranda Assisted Living

Practice address

3540 Martin Luther King Jr Blvd
Lynwood, CA 90262

Phone

(310) 638-4113

Fax

(310) 885-5432

NPI assigned

Apr 23, 2010

Last updated

Oct 21, 2015By 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

Elizabeth P Austria

Title

Chief Operating Officer

Phone

(323) 333-0509

Specialties & licenses 2

Addresses

Other names 1

• Vista Veranda Assisted Living Doing business as

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1427375823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 MARTIN LUTHER KING JR BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-638-4113",
            "fax_number": "310-885-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 MARTIN LUTHER KING JR BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-638-4113",
            "fax_number": "310-885-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA VERANDA VILLAGE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "AUSTRIA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "323-333-0509"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197608044",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Veranda Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabel Villegas
• Isamar Villescas
• Gaby G Vinazza Sarjentt
• Erika C Viramontes, MA
• Cynthia Irene Viruete
• Yvonne A Vollaire, CCAPP
• Shannon M Voss, PA
• Thanh-Thao T Vu, MD
• Farkhanda Janai Wajibul
• Walgreen Co (Walgreens #06249)

• Assisted Living Facility in Lynwood, CA
• Providers in Lynwood, 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 21, 2015; 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.