Organization Active NPI

Vista Prado Inc

  • Assisted Living Facility
  • Vallejo, CA
National Provider Identifier
1851940308
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VISTA PRADO INC
Doing business as
Vista Prado A Memory Care Community
Practice address
105 Power Dr
Vallejo, CA 94589-2529
Phone
(707) 343-9352
Fax
(707) 205-1515
NPI assigned
Sep 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Linda Cho
Title
Executive Director
Phone
(619) 623-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

105 Power Dr
Vallejo, CA 94589-2529

Mailing address

4518 54TH St
San Diego, CA 92115-3527
Phone (619) 623-4000

Other names 1

  • Vista Prado A Memory Care Community Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1851940308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 54TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153527",
            "telephone_number": "619-623-4000",
            "fax_number": "619-286-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 POWER DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892529",
            "telephone_number": "707-343-9352",
            "fax_number": "707-205-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA PRADO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-07",
        "last_updated": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-623-4000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Prado A Memory Care Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Prado A Memory Care Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.