San Diego Intermediate Care Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

SAN DIEGO INTERMEDIATE CARE CENTER

Practice address

1119 28TH St
San Diego, CA 92102-2203

Phone

(619) 233-7281

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Lacaman Laita, R.N.

Title

D.O.N., Owner

Phone

(619) 233-7281

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508939059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 28TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022203",
            "telephone_number": "619-233-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 28TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022203",
            "telephone_number": "619-233-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO INTERMEDIATE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAITA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LACAMAN",
        "authorized_official_title_or_position": "D.O.N., OWNER",
        "authorized_official_telephone_number": "619-233-7281",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Diego Hospital Based Physicians Medical Association
• San Diego Hospitalist Associates Inc
• San Diego Imaging, LLC
• San Diego Institute for Prevention and Wellness
• San Diego Institute of Gastroenterology and Nutrition
• San Diego International Birthing Project Inc
• San Diego Interventional Cardiology AMC
• San Diego Kids First
• San Diego Laboratory Solutions
• San Diego Lasik Institute

• Nursing Facility/Intermediate Care Facility in San Diego, CA
• Providers in San Diego, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.