Organization Active NPI

Hillside Vista Senior Living Inc

  • Custodial Care Facility
  • Spring Valley, CA
National Provider Identifier
1669305165
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
HILLSIDE VISTA SENIOR LIVING INC
Practice address
10808 Avenida Catherina
Spring Valley, CA 91978-1206
Phone
(619) 368-7868
NPI assigned
Jun 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Elaine Lopez
Title
Administrator/Licensee
Phone
(619) 368-7868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

10808 Avenida Catherina
Spring Valley, CA 91978-1206

Mailing address

10808 Avenida Catherina
Spring Valley, CA 91978-1206
Phone (619) 368-7868

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1669305165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 AVENIDA CATHERINA",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781206",
            "telephone_number": "619-368-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 AVENIDA CATHERINA",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781206",
            "telephone_number": "619-368-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE VISTA SENIOR LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR/LICENSEE",
        "authorized_official_telephone_number": "619-368-7868"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.