LINDA VISTA MANOR, INC. (NPI# 1619193729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619193729 |
| Entity Type | Organization |
| Organization Name | LINDA VISTA MANOR, INC. |
| Other Organization Name | KEARNY MESA CONVALESCENT HOSPITAL |
| Practice Address |
7675 Family Cir San Diego CA 92111-5304 |
| Practice Telephone | 8582788121 |
| Practice Fax Number | 8582788177 |
| Mailing Telephone | 8582788121 |
| Mailing Fax Number | 8582788177 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CAROLYN HEBBEL (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 8582788121 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT05286F | 05 |
| Other Name | Type Code |
|---|---|
| Kearny Mesa Convalescent Hospital | Doing Business As Name - Organization |
| Street Address |
7675 FAMILY CIR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275946568 | Ghc of Kearny Mesa, LLC | Skilled Nursing Facility | 7675 Family Cir, San Diego, CA 92111-5304 | 2014-06-04 |
| 1821411141 | Angelina Pua | Physical Therapist | 7675 Family Cir, San Diego, CA 92111-5304 | 2014-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336503150 | Jennifer Nichole Dennison | Skilled Nursing Facility | 12400 High Bluff Dr Ste 100, San Diego, CA 92130-3077 | 2016-04-07 |
| 1619360120 | Judy Carol | Skilled Nursing Facility | 3561 Quince St, San Diego, CA 92104-4819 | 2015-03-07 |
| 1730578154 | Roxanne Ferrer | Skilled Nursing Facility | 8029 Calico St, San Diego, CA 92126 | 2015-01-22 |
| 1043609530 | Shipra Sethi | Skilled Nursing Facility | 10850 Sabre Hill Dr Unit 235, San Diego, CA 92128-4120 | 2015-01-21 |
| 1962816140 | Rehab Care | Skilled Nursing Facility | 7335 Park Village Rd, San Diego, CA 92129-4540 | 2014-06-17 |
| 1255609772 | Care With Dignity Healthcare | Skilled Nursing Facility | 9474 Chesapeake Dr, Suite 907, San Diego, CA 92123-1047 | 2011-12-12 |
| 1356584882 | Jenna Bre Marquez | Skilled Nursing Facility | 3373 Kearny Villa Ln, San Diego, CA 92123-1911 | 2009-04-14 |
| 1912028598 | Uvalde County Hospital Authority | Skilled Nursing Facility | 138 S Fm 1329, San Diego, TX 78384-3925 | 2007-04-02 |
| 1336236496 | Care With Dignity Healthcare, Inc. | Skilled Nursing Facility | 8060 Frost St, San Diego, CA 92123-2703 | 2006-10-09 |
| 1518063437 | Villa Rancho Bernardo Health Care LLC | Skilled Nursing Facility | 15720 Bernardo Center Drive, San Diego, CA 92127 | 2006-09-16 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.