Organization Active NPI

Brighton Place San Diego

  • Skilled Nursing Facility
  • San Diego, CA
National Provider Identifier
1780683326
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BRIGHTON PLACE SAN DIEGO
Practice address
1350 Euclid Ave
San Diego, CA 92105-5424
Phone
(619) 263-2166
Fax
(619) 263-5413
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Ms. Carol Ann Van Horst, RN, NHA
Title
Cfo
Phone
(619) 237-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

1350 Euclid Ave
San Diego, CA 92105-5424

Mailing address

1350 Euclid Ave
San Diego, CA 92105-5424
Phone (619) 263-2166

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05795IMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1780683326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 EUCLID AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055424",
            "telephone_number": "619-263-2166",
            "fax_number": "619-263-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 EUCLID AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055424",
            "telephone_number": "619-263-2166",
            "fax_number": "619-263-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON PLACE SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "VAN HORST",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-237-5555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05795I",
            "state": "CA"
        }
    ],
    "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 Feb 22, 2008; 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.