Fountains la Jolla SL, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

080000401 Issued in CA

Legal business name

FOUNTAINS LA JOLLA SL, LLC

Doing business as

The Springs at Pacific Regent

Practice address

3884 Nobel Dr
San Diego, CA 92122-5700

Phone

(858) 625-8700

Fax

(959) 625-8777

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Greta Fruhling Frazier

Title

Director

Phone

(520) 797-4000

Specialties & licenses 1

Addresses

Other names 1

• THE SPRINGS AT PACIFIC REGENT Doing business as

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1871546887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W RUDASILL RD",
            "address_2": "ATTN: MEDICARE BILLING",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047800",
            "telephone_number": "520-797-4000",
            "fax_number": "520-797-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3884 NOBEL DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225700",
            "telephone_number": "858-625-8700",
            "fax_number": "959-625-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAINS LA JOLLA SL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_middle_name": "FRUHLING",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-797-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE SPRINGS AT PACIFIC REGENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Foti, DO
• Dallas Fotinos
• Laury Foucal
• Madelyn Foulk, PT, DPT
• Garrett Edwin Foulke, M.D.
• Four Seasons Sisterhood Licensed Marrriage and Family Therapy, Inc
• Chrystal Marie Fournier, N.P.
• Raelyn Ritchie Fournier, PA-C
• Diana Foust, NP-C
• Michael Glenn Foust, D.D.S.

• Skilled Nursing Facility in San Diego, CA
• Providers in San Diego, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.