Organization Active NPI

The Light for Seniors, Inc.

Doing business as Light Source Insurance Solutions

  • Case Management Agency
  • San Diego, CA
National Provider Identifier
1790423580
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
THE LIGHT FOR SENIORS, INC.
Doing business as
Light Source Insurance Solutions
Practice address
3405 Kenyon St Ste 301
San Diego, CA 92110-5007
Phone
(858) 751-0752
Fax
(888) 308-9223
NPI assigned
May 23, 2022
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Carol J Costa-Smith
Title
President/Ceo
Phone
(858) 751-0752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

3405 Kenyon St Ste 301
San Diego, CA 92110-5007

Mailing address

3405 Kenyon St Ste 301
San Diego, CA 92110-5007
Phone (858) 751-0752

Other identifiers 1

IdentifierTypeStateIssuer
1790423580MedicaidCA

Other names 1

  • Light Source Insurance Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

3405 Kenyon St
Ste 301
San Diego, CA 92110
Phone (858) 751-0752

8250 Vickers St
Ste G
San Diego, CA 92111

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1790423580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 KENYON ST STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105007",
            "telephone_number": "858-751-0752",
            "fax_number": "888-308-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 KENYON ST STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105007",
            "telephone_number": "858-751-0752",
            "fax_number": "888-308-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHT FOR SENIORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "COSTA-SMITH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "858-751-0752"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790423580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Light Source Insurance Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Light Source Insurance Solutions",
            "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 18, 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.