Villa Oasis San Diego Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

VILLA OASIS SAN DIEGO INC

Practice address

14980 Rancho Santa Fe Farms Rd
Rancho Santa Fe, CA 92067

Phone

(833) 736-2747

NPI assigned

Mar 26, 2021

Last updated

Sep 15, 2023By 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

Ms. Jesse Cook, LVN

Title

Program Director

Phone

(619) 313-5675

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Morris Coombs III, DSW, ACSW

  • Clinical Social Worker
  • La Mesa, CA
  • NPI 1013405968
  NPD

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1477130391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3666",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920673666",
            "telephone_number": "833-736-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14980 RANCHO SANTA FE FARMS RD",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "92067",
            "telephone_number": "833-736-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA OASIS SAN DIEGO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "619-313-5675",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S. Sweet, M.D.
• Virginia Sweetan, ND
• Sherre L Symonds, CMF
• Trinity Azevedo Blitt, Inc (RSF Audiology)
• Marina Evelia Vazquez Araiza, LCSW
• Vinton Claude Vint, MD
• Amy Wagner, MS
• Joseph Benjamin Weiss, M.D.
• Lisa Michelle Weiss, O.D.
• Herbert Nathaniel Weissman, PH.D.

• Substance Abuse Rehabilitation Facility in Rancho Santa Fe, CA
• Providers in Rancho Santa Fe, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.