Organization Active NPI

Villa del Mar 1 Corp.

  • Assisted Living Facility
  • San Diego, CA
National Provider Identifier
1912888645
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VILLA DEL MAR 1 CORP.
Practice address
1040 Flax CT
San Diego, CA 92154-2135
Phone
(619) 713-3435
NPI assigned
Sep 9, 2025
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Samuel Tapia
Title
Chief Financial Officer
Phone
(619) 713-3435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1040 Flax CT
San Diego, CA 92154-2135

Mailing address

1040 Flax CT
San Diego, CA 92154-2135
Phone (619) 713-3435

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1912888645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 FLAX CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921542135",
            "telephone_number": "619-713-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 FLAX CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921542135",
            "telephone_number": "619-713-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA DEL MAR 1 CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "TAPIA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "619-713-3435"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.