Organization Active NPI

Valley View Sanitarium & Rest Home

  • Nursing Facility/Intermediate Care Facility
  • San Diego, CA
National Provider Identifier
1881863504
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
VALLEY VIEW SANITARIUM & REST HOME
Practice address
1130 Lauriston Dr
San Diego, CA 92154-3325
Phone
(619) 429-5960
Fax
(619) 429-5960
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Mrs. Juanita Rettinghaus
Title
Executive Administator
Phone
(619) 267-8400

Specialties & licenses 1

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

Addresses

Primary practice location

1130 Lauriston Dr
San Diego, CA 92154-3325

Mailing address

PO Box 90
National City, CA 91951-0090
Phone (619) 267-8400

Other identifiers 1

IdentifierTypeStateIssuer
LTC80411FMedicaidCA

Other names 1

  • LAURISTON DRIVE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G586

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LAURISTON DRIVE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 17, 2007
Last certification
Apr 9, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
1130 Lauriston Drive
San Diego, CA 92154

National Provider Directory

National Provider Directory
Tax ID family
Valley View Sanitarium Rest Home20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1881863504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919510090",
            "telephone_number": "619-267-8400",
            "fax_number": "619-267-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 LAURISTON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543325",
            "telephone_number": "619-429-5960",
            "fax_number": "619-429-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VIEW SANITARIUM & REST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "RETTINGHAUS",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTATOR",
        "authorized_official_telephone_number": "619-267-8400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80411F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAURISTON DRIVE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.