Active NPI
Brighton Place San Diego
- Skilled Nursing Facility
- San Diego, CA
National Provider Identifier
1780683326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT05795I | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.