Organization Active NPI

Psalm 23 Assisted Living II

  • Assisted Living Facility
  • San Diego, CA
National Provider Identifier
1699650754
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PSALM 23 ASSISTED LIVING II
Practice address
10176 Embassy Way
San Diego, CA 92126-3446
Phone
(858) 610-8455
Fax
(858) 544-6966
NPI assigned
Aug 7, 2025
Organization subpart
Yes
Parent organization
PSALM 23 ASSISTED LIVING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Iirma Gawaran Laconsay
Title
President
Phone
(858) 610-8455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10176 Embassy Way
San Diego, CA 92126-3446

Mailing address

13536 Del Marino Ave
Poway, CA 92064-5008
Phone (858) 610-8455

Other names 2

  • Psalm 23 Assisted Living Doing business as
  • Psalm 23 Assisted Living II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Psalm 23 Assisted Living LLC2 organizations share this tax ID, including this one
Part of
Psalm 23 Assisted Living LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1699650754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13536 DEL MARINO AVE",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645008",
            "telephone_number": "858-610-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10176 EMBASSY WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921263446",
            "telephone_number": "858-610-8455",
            "fax_number": "858-544-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSALM 23 ASSISTED LIVING II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSALM 23 ASSISTED LIVING LLC",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "LACONSAY",
        "authorized_official_first_name": "IIRMA",
        "authorized_official_middle_name": "GAWARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-610-8455"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psalm 23 Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Psalm 23 Assisted Living II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 7, 2025; 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.