COSTA DEL SOL HEALTHCARE
NPI 1013641562
Skilled Nursing Facility in Los Angeles, CA

Active since July 11, 2022CLIA 05D0676352 · Waiver
1016 S RECORD AVE, LOS ANGELES, CA 90023(323) 826-5035 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2024, Aug 5, 2024, Jul 11, 2022 (3 updates tracked since 2022).

About Costa Del Sol Healthcare NPPES

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

COSTA DEL SOL HEALTHCARE (NPI 1013641562) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Mitchell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1013641562
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEAST LOS ANGELES HEALTHCARE, LLC
Location Address1016 S RECORD AVELos Angeles, CA 90023-2533
Mailing Address262 N University AveFarmington, UT 84025-2975 · (385) 518-1814
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (385) 988-3319
Enumeration DateJuly 11, 2022
Last NPPES UpdateAugust 15, 20243 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
NPI 1013641562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(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.

1016 S RECORD AVE, Los Angeles, CA 90023

Other Names 1

Doing Business AsCosta Del Sol Healthcare

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 05D0676352

Costa Del Sol Healthcare · Los Angeles, CA
Active · expires Aug 31, 2026
CLIA Number05D0676352
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMohamad Albouidani
Laboratory Phone(323) 826-5035
Laboratory LocationCosta Del Sol Healthcare1016 S Record Ave, Los Angeles, CA 90023
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 8

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

Occupational Therapist
1016 S RECORD AVE
LOS ANGELES, CA 90023
Occupational Therapist
1016 S RECORD AVE
LOS ANGELES, CA 90023
Occupational Therapy Assistant
1016 S RECORD AVE
LOS ANGELES, CA 90023
Skilled Nursing Facility
1016 S RECORD AVE
LOS ANGELES, CA 90023
Speech-Language Pathologist
1016 S RECORD AVE
LOS ANGELES, CA 90023
Physical Therapy Assistant
1016 S RECORD AVE
LOS ANGELES, CA 90023
Occupational Therapist
1016 S RECORD AVE
LOS ANGELES, CA 90023
Nurse Practitioner (Adult Health)
1016 S RECORD AVE
LOS ANGELES, CA 90023

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 East Los Angeles Healthcare, LLC's NPI number?

The NPI number for East Los Angeles Healthcare, LLC is 1013641562. It was assigned to this organization in the NPPES registry on July 11, 2022.

Where is East Los Angeles Healthcare, LLC located?

East Los Angeles Healthcare, LLC is located at 1016 S Record Ave, Los Angeles, CA 90023. The listed phone number is (323) 826-5035.

What is East Los Angeles Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does East Los Angeles Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0676352) 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 East Los Angeles Healthcare, LLC was last updated on August 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.