EC OPCO GROSSMONT GARDENS, LP (NPI# 1881153526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881153526 |
| Entity Type | Organization |
| Organization Name | EC OPCO GROSSMONT GARDENS, LP |
| Practice Address |
5480 Marengo Ave La Mesa CA 91942-2408 |
| Mailing Address |
5885 Meadows Rd Ste 500 Lake Oswego OR 97035-8646 |
| Practice Telephone | 6194630281 |
| Practice Fax Number | 6194638394 |
| Mailing Telephone | 9712541368 |
| Mailing Fax Number | 8662469514 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | AMY W. FLEMING (CONTROLLER) |
| Authorized Official Telephone | 9713373922 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
5480 MARENGO AVE |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013069079 | Marybeth Mcandrew | Physical Therapist | 5480 Marengo Ave, La Mesa, CA 91942-2408 | 2007-01-18 |
| 1467759894 | Lyndon Termulo | Physical Therapist | 5480 Marengo Ave, La Mesa, CA 91942-2408 | 2011-02-21 |
| 1184921512 | Jeanette Termulo | Physical Therapist | 5480 Marengo Ave, La Mesa, CA 91942-2408 | 2011-02-21 |
| 1033346937 | Nancy Lee Thomas | Speech-Language Pathologist | 5480 Marengo Ave, La Mesa, CA 91942-2408 | 2009-06-18 |
| 1841425584 | Sabonjian Speech Services, Inc. | Physical Therapist | 5480 Marengo Ave, La Mesa, CA 91942-2408 | 2009-05-26 |
| 1427283019 | Dana Christine Leonardi | Speech-Language Pathologist | 5480 Marengo Ave, La Mesa, CA 91942-2408 | 2009-05-26 |
| 1568612018 | Robert P Eter Yarris | Physical Therapist | 5480 Marengo Ave, La Mesa, CA 91942-2408 | 2008-09-21 |
| 1104081827 | A.s.d. Rehab, Inc. | Physical Therapist | 5480 Marengo Ave, La Mesa, CA 91942-2408 | 2008-07-22 |
| 1205001112 | Steve La Bella | Physical Therapy Assistant | 5480 Marengo Ave, La Mesa, CA 91942-2408 | 2008-04-23 |
| 1073790168 | Michele Dela Cruz | Physical Therapy Assistant | 5480 Marengo Ave, La Mesa, CA 91942-2408 | 2008-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982138996 | Ijt9112 and Associates LLC | Assisted Living Facility | 9112 Wakarusa St, La Mesa, CA 91942-3308 | 2017-04-17 |
| 1033665823 | Regina Uy | Assisted Living Facility | 8509 Dallas St, La Mesa, CA 91942-3120 | 2016-08-31 |
| 1144657545 | La Mesa Operations, LLC | Assisted Living Facility | 4960 Mills St, La Mesa, CA 91942-9310 | 2013-09-30 |
| 1801089537 | Grossmont Gardens Operations, LLC | Assisted Living Facility | 5480 Marengo Ave, La Mesa, CA 91942-2408 | 2007-08-27 |
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| 1821697434 | Global Regency Senior Care Services, LLC | Assisted Living Facility | 117 E 8th St, Long Beach, CA 90813-4397 | 2020-10-23 |
| 1689273419 | Pacifica Slo LLC | Assisted Living Facility | 475 Marsh St, San Luis Obispo, CA 93401-6108 | 2020-10-22 |
| 1871192682 | Pacifica Sfo LLC | Assisted Living Facility | 624 Laguna St, San Francisco, CA 94102-4217 | 2020-10-22 |
| 1528667367 | Pacifica Sierra Vista Lp | Assisted Living Facility | 13815 Rodeo Dr, Victorville, CA 92395-5600 | 2020-10-22 |
| 1992304737 | West Lyons Lp | Assisted Living Facility | 24305 Lyons Ave, Newhall, CA 91321-2344 | 2020-10-22 |
| 1619576451 | Pacifica Orange County LLC | Assisted Living Facility | 2619 Orange Ave, Costa Mesa, CA 92627-4630 | 2020-10-22 |
| 1720687551 | P San Leandro Lp | Assisted Living Facility | 348 W Juana Ave, San Leandro, CA 94577-3661 | 2020-10-22 |
| 1952900730 | Pacifica Daly LLC | Assisted Living Facility | 995 E Market St, Daly City, CA 94014-2168 | 2020-10-22 |
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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.