CCW LA JOLLA, LLC
NPI 1154881464
Assisted Living Facility in San Diego, CA

Active since March 22, 2019
8515 COSTA VERDE BLVD, SAN DIEGO, CA 92122(858) 646-7700 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ccw La Jolla, Llc NPPES

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

CCW LA JOLLA, LLC (NPI 1154881464), doing business as Vi At La Jolla Village, is a healthcare organization registered as an assisted living facility in San Diego, California and active in the NPI registry since March 2019. The organization lists Tomek J Koszylko, Counsel, as its authorized official.

NPPES Registry Identity

NPI1154881464
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCCW LA JOLLA, LLC
Location Address8515 COSTA VERDE BLVDSan Diego, CA 92122-1130
Mailing Address233 S Wacker Dr Ste 8400Chicago, IL 60606-6316 · (312) 803-8800
Organization SubpartNo
Authorized OfficialTomek J KoszylkoCounsel · (312) 803-8443
Enumeration DateMarch 22, 2019
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
NPI 1154881464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
8515 COSTA VERDE BLVD, San Diego, CA 92122

Other Names 1

Doing Business AsVi At La Jolla Village

Other Providers at the Same Location NPPES 17

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

Occupational Therapist
8515 COSTA VERDE BLVD
SAN DIEGO, CA 92122
Occupational Therapy Assistant
8515 COSTA VERDE BLVD
SAN DIEGO, CA 92122
Physical Therapist
8515 COSTA VERDE BLVD
SAN DIEGO, CA 92122
Occupational Therapist
8515 COSTA VERDE BLVD
SAN DIEGO, CA 92122
Occupational Therapy Assistant
8515 COSTA VERDE BLVD
SAN DIEGO, CA 92122
Occupational Therapy Assistant
8515 COSTA VERDE BLVD
SAN DIEGO, CA 92122
Occupational Therapist
8515 COSTA VERDE BLVD
SAN DIEGO, CA 92122
Physical Therapist
8515 COSTA VERDE BLVD
SAN DIEGO, CA 92122

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 Ccw La Jolla, LLC's NPI number?

The NPI number for Ccw La Jolla, LLC is 1154881464. It was assigned to this organization in the NPPES registry on March 22, 2019. The provider is doing business as Vi at La Jolla Village.

Where is Ccw La Jolla, LLC located?

Ccw La Jolla, LLC is located at 8515 Costa Verde Blvd, San Diego, CA 92122. The listed phone number is (858) 646-7700.

What is Ccw La Jolla, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Ccw La Jolla, LLC was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.