Organization Active NPI

Paradise Hills Senior Living Inc

  • Assisted Living Facility
  • San Diego, CA
National Provider Identifier
1578379160
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PARADISE HILLS SENIOR LIVING INC
Practice address
2404 Reo Dr
San Diego, CA 92139-3026
Phone
(619) 213-3129
NPI assigned
Dec 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Daniel Salvador Barajas-Velasco
Title
President
Phone
(619) 213-3129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2404 Reo Dr
San Diego, CA 92139-3026

Mailing address

2404 Reo Dr
San Diego, CA 92139-3026
Phone (619) 213-3129

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1578379160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 REO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393026",
            "telephone_number": "619-213-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 REO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393026",
            "telephone_number": "619-213-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE HILLS SENIOR LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-08",
        "status": "A",
        "authorized_official_last_name": "BARAJAS-VELASCO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "SALVADOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-213-3129"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.