Active NPI
The Light for Seniors, Inc.
Doing business as Light Source Insurance Solutions
- Case Management Agency
- San Diego, CA
National Provider Identifier
1790423580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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, 2025
- 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
- Carol J Costa-Smith
- Title
- President/Ceo
- Phone
- (858) 751-0752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790423580 | Medicaid | CA |
Other names 1
- Light Source Insurance Solutions
National Provider Directory
National Provider DirectoryLocations
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"
}
]
}
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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.