Organization Active NPI

Serenity Villa Jja, Inc

  • Assisted Living Facility
  • San Pedro, CA
National Provider Identifier
1811867591
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SERENITY VILLA JJA, INC
Practice address
1036 Via la Paz
San Pedro, CA 90732-2307
Phone
(310) 935-2662
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Evelyn Banares Espiritu
Title
Administrator
Phone
(424) 376-9030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1036 Via la Paz
San Pedro, CA 90732-2307

Mailing address

1036 Via la Paz
San Pedro, CA 90732-2307
Phone (310) 935-2662

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1811867591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 VIA LA PAZ",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322307",
            "telephone_number": "310-935-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 VIA LA PAZ",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322307",
            "telephone_number": "310-935-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY VILLA JJA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "ESPIRITU",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "BANARES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "424-376-9030"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.