Braswells Villa Monte Vista LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BRASWELLS VILLA MONTE VISTA LP

Practice address

12696 Monte Vista Rd
Poway, CA 92064-2500

Phone

(858) 487-6242

Fax

(858) 487-4282

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Valerie Candelaria

Title

Director of Ar

Phone

(909) 446-8754

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982675328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12696 MONTE VISTA RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642500",
            "telephone_number": "858-487-6242",
            "fax_number": "858-487-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12696 MONTE VISTA RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642500",
            "telephone_number": "858-487-6242",
            "fax_number": "858-487-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRASWELLS VILLA MONTE VISTA LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANDELARIA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "909-446-8754",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55206H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer Bradley
• Katherine F Bradshaw-Smith, PHYSICIAN ASST CERT
• Ruby Brand
• Charlotte Leslie Brandt
• Brannon & Brannon a Professional Corporation
• James Michael Bried, M.D.
• Jayla Briggs
• James Henry Bright, D.D.S.
• Brilliant Start Wellness
• Amanda Briones

• Skilled Nursing Facility in Poway, CA
• Providers in Poway, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.