NPIMap

Organization Active NPI

Vista del Sol Health Services Inc

  • Assisted Living Facility
  • Los Angeles, CA
National Provider Identifier
1467834085
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
191601231 Issued in CA
Legal business name
VISTA DEL SOL HEALTH SERVICES INC
Practice address
4323 Coolidge Ave
Los Angeles, CA 90066-5905
Phone
(310) 390-9045
Fax
(310) 391-7677
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
James R Preimesberger
Title
President
Phone
(310) 390-9045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 191601231 CA Primary

Addresses

Primary practice location

4323 Coolidge Ave
Los Angeles, CA 90066-5905

Mailing address

11620 W Washington Blvd
Los Angeles, CA 90066-5916
Phone (310) 390-9045

Other names 1

  • Casa del Mar IV - Residence Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Casa del Mar - Residence6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1467834085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665916",
            "telephone_number": "310-390-9045",
            "fax_number": "310-391-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 COOLIDGE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665905",
            "telephone_number": "310-390-9045",
            "fax_number": "310-391-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA DEL SOL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "PREIMESBERGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-390-9045"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "191601231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa del Mar IV - Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.