Canyon Hill Senior Home II

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

374602316 Issued in CA

Legal business name

CANYON HILL SENIOR HOME II

Practice address

11075 Polaris Dr
San Diego, CA 92126-4703

Phone

(858) 693-4393

Fax

(858) 693-6920

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Edna S Alberto

Title

Administrator

Phone

(858) 774-3375

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1477922425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11075 POLARIS DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264703",
            "telephone_number": "858-693-4393",
            "fax_number": "858-693-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11075 POLARIS DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264703",
            "telephone_number": "858-693-4393",
            "fax_number": "858-693-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON HILL SENIOR HOME II",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "ALBERTO",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "858-774-3375",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "374602316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Canty
• Nancy V. Canty, N.P.
• Timothy Giles Canty Sr., MD
• Canvas of Possibilities Psychological Services Inc.
• Canyon Hill Senior Home I
• Kardo Canziani
• Alison Juliana Cao Romero
• Alicia Cao, MS, BCBA
• Duyen Cao, OD
• Oanh Cao, PSY.D.

• Assisted Living Facility in San Diego, CA
• Providers in San Diego, 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 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.