Organization Active NPI

Easy Living @ Mira Mesa

  • Assisted Living Facility (Behavioral Disturbances)
  • San Diego, CA
National Provider Identifier
1689531832
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
EASY LIVING @ MIRA MESA
Practice address
10136 Zapata Ave
San Diego, CA 92126-1124
Phone
(858) 663-2425
Fax
(858) 430-5555
NPI assigned
Jan 8, 2026
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Mr. Danilo Casintahan Calcetas, LICENSEE
Title
Licensee Administrator Caregiver
Phone
(858) 663-2425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

10136 Zapata Ave
San Diego, CA 92126-1124

Mailing address

10136 Zapata Ave
San Diego, CA 92126-1124
Phone (858) 663-2425

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1689531832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10136 ZAPATA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921261124",
            "telephone_number": "858-663-2425",
            "fax_number": "858-430-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10136 ZAPATA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921261124",
            "telephone_number": "858-663-2425",
            "fax_number": "858-430-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY LIVING @ MIRA MESA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "CALCETAS",
        "authorized_official_first_name": "DANILO",
        "authorized_official_middle_name": "CASINTAHAN",
        "authorized_official_title_or_position": "LICENSEE ADMINISTRATOR CAREGIVER",
        "authorized_official_telephone_number": "858-663-2425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSEE"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "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 Jan 8, 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.