VISTA LA MESA SENIOR LIVING NPI 1013623073

NPI Information

  • NPI: 1013623073
  • Provider Name: VISTA LA MESA SENIOR LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 05D0693311
  • Address: 5480 MARENGO AVE
    LA MESA, CA
    ZIP 91942
  • Phone: (619) 463-0281

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NPI Details

VISTA LA MESA SENIOR LIVING is an assisted living facility in La Mesa, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. VISTA LA MESA SENIOR LIVING NPI is 1013623073. The provider is registered as an organization entity type.

The provider's business location address is:

5480 MARENGO AVE
LA MESA, CA
ZIP 91942-408
Phone: (619) 463-0281

The provider's authorized official is James Bender .
The authorized official title is Vice President/director and has the following contact phone number (310) 430-2944.

The CLIA number assigned to this NPI record is 05D0693311 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2023 and was last updated on 3/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes
2314000000XSkilled Nursing FacilityNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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