VISTA LA MESA SENIOR LIVING INC.
NPI 1013623073
Assisted Living Facility in La Mesa, CA

Active since January 24, 2023CLIA 05D0693311 · Waiver
5480 MARENGO AVE, LA MESA, CA 91942(619) 463-0281 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2026, Mar 17, 2025, Mar 16, 2023 and 2 more (5 updates tracked since 2023).

About Vista La Mesa Senior Living Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISTA LA MESA SENIOR LIVING INC. (NPI 1013623073), doing business as Grossmont Gardens Senior Living, is a healthcare organization registered as an assisted living facility in La Mesa, California and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists James Bender, Vice President/director, as its authorized official.

NPPES Registry Identity

NPI1013623073
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVISTA LA MESA SENIOR LIVING INC.
Location Address5480 MARENGO AVELa Mesa, CA 91942-2408
Mailing Address100 N Barranca St Ste 200West Covina, CA 91791-1651
Organization SubpartNo
Authorized OfficialJames BenderVice President/director · (310) 430-2944
Enumeration DateJanuary 24, 2023
Last NPPES UpdateApril 15, 20265 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1013623073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

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.

Also ListedSkilled Nursing FacilityTaxonomy 314000000X
5480 MARENGO AVE, La Mesa, CA 91942

Other Names 1

Doing Business AsGrossmont Gardens Senior Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0693311

Vista La Mesa Senior Living, Inc · La Mesa, CA
Active · expires Aug 31, 2026
CLIA Number05D0693311
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrij Gupta MD
Laboratory Phone(619) 463-0281
Laboratory LocationVista La Mesa Senior Living, Inc5480 Marengo Ave, La Mesa, CA 91942
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
5480 MARENGO AVE
LA MESA, CA 91942
Physical Therapist
5480 MARENGO AVE
LA MESA, CA 91942
Speech-Language Pathologist
5480 MARENGO AVE
LA MESA, CA 91942
Skilled Nursing Facility
5480 MARENGO AVE
LA MESA, CA 91942
Physical Therapy Assistant
5480 MARENGO AVE
LA MESA, CA 91942
Physical Therapist
5480 MARENGO AVE
LA MESA, CA 91942
Occupational Therapist
5480 MARENGO AVE
LA MESA, CA 91942
Physical Therapist
5480 MARENGO AVE
LA MESA, CA 91942

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vista La Mesa Senior Living Inc.'s NPI number?

The NPI number for Vista La Mesa Senior Living Inc. is 1013623073. It was assigned to this organization in the NPPES registry on January 24, 2023. The provider is doing business as Grossmont Gardens Senior Living.

Where is Vista La Mesa Senior Living Inc. located?

Vista La Mesa Senior Living Inc. is located at 5480 Marengo Ave, La Mesa, CA 91942. The listed phone number is (619) 463-0281.

What is Vista La Mesa Senior Living Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Vista La Mesa Senior Living Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0693311) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vista La Mesa Senior Living Inc. was last updated on April 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.