COMMUNITY CONVALESCENT HOSPITAL OF LA MESA LP
NPI 1225028327
Skilled Nursing Facility in La Mesa, CA

Active since October 28, 2005CLIA 05D0872667 · Waiver
8665 LA MESA BLVD, LA MESA, CA 91941(619) 465-0702(619) 828-1782 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Convalescent Hospital Of La Mesa Lp NPPES

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

COMMUNITY CONVALESCENT HOSPITAL OF LA MESA LP (NPI 1225028327) is a healthcare organization registered as a skilled nursing facility in La Mesa, California and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Jacob Graff, President, as its authorized official.

NPPES Registry Identity

NPI1225028327
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOMMUNITY CONVALESCENT HOSPITAL OF LA MESA LP
Location Address8665 LA MESA BLVDLa Mesa, CA 91941
Mailing Address8665 La Mesa BlvdLa Mesa, CA 91941-3903 · (619) 465-0702 · Fax (619) 828-1782
Fax(619) 828-1782
Organization SubpartNo
Authorized OfficialJacob GraffPresident · (323) 556-0040
Enumeration DateOctober 28, 2005
Last NPPES UpdateJuly 25, 2018
NPI 1225028327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 090000033
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.
8665 LA MESA BLVD, La Mesa, CA 91941

Other Identifiers 1

MedicaidZZT18070GCA

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 05D0872667

Community Convalescent Hospital Of La Mesa · La Mesa, CA
Active · expires Jun 30, 2027
CLIA Number05D0872667
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorLakshmi Prathipati, MD
Laboratory Phone(619) 465-0702
Laboratory LocationCommunity Convalescent Hospital Of La Mesa8665 La Mesa Boulevard, La Mesa, CA 91941
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Community Convalescent Hospital Of La Mesa LP's NPI number?

The NPI number for Community Convalescent Hospital Of La Mesa LP is 1225028327. It was assigned to this organization in the NPPES registry on October 28, 2005.

Where is Community Convalescent Hospital Of La Mesa LP located?

Community Convalescent Hospital Of La Mesa LP is located at 8665 La Mesa Blvd, La Mesa, CA 91941. The listed phone number is (619) 465-0702.

What is Community Convalescent Hospital Of La Mesa LP's specialty?

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

Does Community Convalescent Hospital Of La Mesa LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0872667) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Convalescent Hospital Of La Mesa LP was last updated on July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.