NPIMap

Organization Active NPI

Vista del Sol LTC, Inc.

Doing business as Vista Del Sol Care Center

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1932587946
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
910000037 Issued in CA
Legal business name
VISTA DEL SOL LTC, INC.
Doing business as
Vista Del Sol Care Center
Practice address
11620 W Washington Blvd
Los Angeles, CA 90066-5916
Phone
(310) 390-9045
Fax
(310) 391-8738
NPI assigned
May 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Dov Edward Jacobs
Title
President
Phone
(310) 390-9045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 910000037 CA Primary

Addresses

Primary practice location

11620 W Washington Blvd
Los Angeles, CA 90066-5916

Mailing address

11620 W Washington Blvd
Los Angeles, CA 90066-5916
Phone (310) 390-9045

Other names 1

  • Vista Del Sol Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150711000083 CA Part A Provider - Skilled Nursing Facility 5991017436 Practice locations: Los Angeles, CA

Skilled nursing facility certification: CCN 555849

Legal name
VISTA DEL SOL LTC INC
Doing business as
VISTA DEL SOL CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 28, 2008
Last certification
Feb 16, 2025
Beds
50
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationProprietary
Incorporated
Dec 30, 2014 in CA
Enrollment address
11620 W Washington Blvd
Los Angeles, CA 90066-5916
Nursing home name
VISTA DEL SOL CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vista del Sol Care CenterCCN 555849 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 28, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5047.8 residents per day on average
Penalties (3 years)
3Fines totaling $116,475

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Vista del Sol Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dov E Jacobs Individual 5% Or Greater Direct Ownership Interest Apr 7, 2015 100%
Corporate Director Apr 7, 2015 100%
Rosa Valdivia Individual Operational/Managerial ControlAdministrator Apr 1, 2015 100%

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1932587946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665916",
            "telephone_number": "310-390-9045",
            "fax_number": "310-391-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665916",
            "telephone_number": "310-390-9045",
            "fax_number": "310-391-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA DEL SOL LTC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DOV",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-390-9045"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "910000037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Del Sol Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.