Linda Vista Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LINDA VISTA MANOR, INC.

Practice address

7675 Family Cir
San Diego, CA 92111-5304

Phone

(858) 278-8121

Fax

(858) 278-8177

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn Hebbel, BA

Title

Business Office Manager

Phone

(858) 278-8121

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kearny Mesa Convalescent Hospital Doing business as

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619193729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 FAMILY CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115304",
            "telephone_number": "858-278-8121",
            "fax_number": "858-278-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 FAMILY CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115304",
            "telephone_number": "858-278-8121",
            "fax_number": "858-278-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA VISTA MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEBBEL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "858-278-8121",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05286F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kearny Mesa Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennie Linck
• Alan Lincoln, PH.D.
• Barron Luke Lincoln II
• Denise Ruth Lincoln
• Joan Rae Lind, LCSW
• Linda Vista Pharmacy
• Laurie Lindamer
• Dana Lindberg, DPT
• Erin Lindberg
• Robert Ivar Lindbloom

• Skilled Nursing Facility in San Diego, CA
• Providers in San Diego, CA by specialty
• Skilled Nursing 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.