NPIMap

Organization Active NPI

Humangood Socal

  • Nursing Facility/Intermediate Care Facility
  • La Jolla, CA
National Provider Identifier
1851568596
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
080000109 Issued in CA
Legal business name
HUMANGOOD SOCAL
Practice address
7450 Olivetas Ave
La Jolla, CA 92037
Phone
(858) 454-4201
Fax
(858) 450-5298
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Gwen Ellen Vangelisto
Title
Director of Accounts Receivable
Phone
(949) 463-0893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 080000109 CA Primary

Addresses

Primary practice location

7450 Olivetas Ave
La Jolla, CA 92037

Mailing address

1900 Huntington Dr
Duarte, CA 91010-2694
Phone (818) 247-0420

Other names 1

  • White Sands Of La Jolla Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0925405White Sands of la Jolla7450 Olivetas Ave, La Jolla, CA 92037Certificate of waiverFeb 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Humangood Socal7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1851568596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102694",
            "telephone_number": "818-247-0420",
            "fax_number": "949-528-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 OLIVETAS AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-454-4201",
            "fax_number": "858-450-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANGOOD SOCAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "VANGELISTO",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "949-463-0893"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "080000109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Sands Of La Jolla",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White Sands Of La Jolla",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.