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LA JOLLA CASA FIESTA
NPI 1043997174
Assisted Living Facility in La Jolla, CA

Active since June 30, 2023
5426 AVENIDA FIESTA, LA JOLLA, CA 92037(858) 412-3987(858) 412-3987 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Assisted Living Facility

About LA JOLLA CASA FIESTA

This page provides the complete NPI Profile along with additional information for La Jolla Casa Fiesta, a provider established in La Jolla, California operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1043997174 assigned on June 2023. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as La Jolla Casa Fiesta. The authorized official of this NPI record is Gus Fernandez (Owner)

NPI
1043997174 Verify this NPI
Provider Legal Name
KEVORY HOLDING COMPANY, INC.
Other Organization Name
LA JOLLA CASA FIESTA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5426 AVENIDA FIESTA LA JOLLA, CA 92037
Location Phone
(858) 412-3987
Location Fax
(858) 412-3987
Mailing Address
991 LOMAS SANTA FE DR STE C SOLANA BEACH, CA 92075
Mailing Phone
(858) 245-3766
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2023
Last Update Date
11-04-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GUS FERNANDEZ

Authorized Official Title
OWNER
Authorized Official Phone
(858) 245-3766

Reviews for LA JOLLA CASA FIESTA

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

LA JOLLA CASA FIESTA, LLC
Assisted Living Facility
5426 AVENIDA FIESTA
LA JOLLA, CA 92037
San Diego County (858) 245-3766

Frequently Asked Questions

What is KEVORY HOLDING COMPANY, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1043997174, enumerated as an "organization" on June 30, 2023.

Where is the provider located?

The provider is located at 5426 AVENIDA FIESTA LA JOLLA, CA 92037 and the phone number is (858) 412-3987.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.