CASA DEL MAR - RESIDENCE
NPI 1659753275
Assisted Living Facility in Los Angeles, CA
NPI Status: Active since June 19, 2015
Contact Information
4320 MCLAUGHLIN AVE
LOS ANGELES, CA
ZIP 90066
Phone: (310) 390-9045
Fax: (310) 391-7677
- Organization
- Assisted Living Facility
- CLIA Number: 05D0721821
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About CASA DEL MAR - RESIDENCE
This page provides the complete NPI Profile along with additional information for Casa Del Mar - Residence, a provider established in Los Angeles, California operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1659753275 assigned on June 2015. The practitioner's primary taxonomy code is 310400000X with license number 191671521 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Casa Del Mar - Residence. The authorized official of this NPI record is James R Preimesberger (President)
- NPI
- 1659753275
- Provider Legal Name
- VISTA DEL SOL HEALTH SERVICES INC
- Other Organization Name
- CASA DEL MAR - RESIDENCE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4320 MCLAUGHLIN AVE LOS ANGELES, CA 90066
- Location Phone
- (310) 390-9045
- Location Fax
- (310) 391-7677
- Mailing Address
- 11620 W WASHINGTON BLVD LOS ANGELES, CA 90066
- Mailing Phone
- (310) 390-9045
- Mailing Fax
- (310) 391-7677
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2015
- Last Update Date
- 06-19-2015
- Code Navigator
Location Map
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
- License No.
- 191671521
- License State
- CA
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0721821
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- WILLIAM PULLEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Casa Del Mar - Residence to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1659753275, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
LOS ANGELES, CA 90066
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659753275, enumerated as an "organization" on June 19, 2015.
The provider is located at 4320 MCLAUGHLIN AVE LOS ANGELES, CA 90066 and the phone number is (310) 390-9045.
Assisted Living Facility with taxonomy code 310400000X.
