VILLA AMISTAD
NPI 1427274810
Nursing Facility/Intermediate Care Facility in San Diego, CA

Active since April 17, 2007CLIA 05D0699587 · Waiver
628 OMEARA ST, SAN DIEGO, CA 92114(619) 266-2812(619) 266-2460 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Villa Amistad NPPES

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

VILLA AMISTAD (NPI 1427274810) is a healthcare organization registered as a nursing facility/intermediate care facility in San Diego, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Juanita Rettinghaus, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1427274810
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameVALLEY VIEW SANITARIUM & REST HOME
Location Address628 OMEARA STSan Diego, CA 92114-6731
Mailing AddressPo Box 90National City, CA 91951-0090 · (619) 267-8400 · Fax (619) 267-0892
Fax(619) 266-2460
Organization SubpartNo
Authorized OfficialJuanita RettinghausExecutive Director · (619) 267-8400
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 17, 2007
✔ NPI 1427274810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
628 OMEARA ST, San Diego, CA 92114

Other Names 1

Doing Business AsVilla Amistad

Other Identifiers 1

MedicaidLTC80043FCA

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 05D0699587

Villa Amistad · San Diego, CA
Active · expires Aug 31, 2028
CLIA Number05D0699587
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorLeon Kelley
Laboratory Phone(619) 266-2812
Laboratory LocationVilla Amistad628 O'meara St, San Diego, CA 92114
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Intermediate Care Facility, Intellectual Disabilities
628 OMEARA ST
SAN DIEGO, CA 92114

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 Valley View Sanitarium & Rest Home's NPI number?

The NPI number for Valley View Sanitarium & Rest Home is 1427274810. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Villa Amistad.

Where is Valley View Sanitarium & Rest Home located?

Valley View Sanitarium & Rest Home is located at 628 Omeara St, San Diego, CA 92114. The listed phone number is (619) 266-2812.

What is Valley View Sanitarium & Rest Home's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Valley View Sanitarium & Rest Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0699587) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Valley View Sanitarium & Rest Home was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.