Villa Ambrosia, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

VILLA AMBROSIA, INC

Doing business as

Sapphire Pacific

Practice address

1537 Brighton Glen Rd
San Marcos, CA 92078-5495

Phone

(714) 322-1910

Fax

(866) 602-7153

NPI assigned

Sep 30, 2019

Last updated

Sep 30, 2019By 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

Ali Naghibi

Title

Ceo, President

Phone

(714) 322-1910

Specialties & licenses 1

Addresses

Other names 1

• Sapphire Pacific Doing business as

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1578104717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 BRIGHTON GLEN RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920785495",
            "telephone_number": "714-322-1910",
            "fax_number": "866-602-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 BRIGHTON GLEN RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920785495",
            "telephone_number": "714-322-1910",
            "fax_number": "866-602-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA AMBROSIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "NAGHIBI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "714-322-1910"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sapphire Pacific",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Virginia Delgado Family Counseling Inc

• Adult Care Home Facility in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.