Monte Nido Lake Vista, LLC
NPI 1053934984 · Mental Illness Community Based Residential Treatment Facility · Lafayette, CA
Monte Nido Lake Vista, LLC is a Mental Illness Community Based Residential Treatment Facility organization in Lafayette, CA (NPI 1053934984).
Provider details
- NPI number
- 1053934984
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Monte Nido Lake Vista, LLC
- Organization subpart
- Yes
- Authorized official
- Mike Bagley, Chief Financial Officer(305) 663-1876
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Monte Nido East Bay
Registry dates
- Enumerated
- 2020-05-27
- Last updated
- 2020-05-27
- Certified
- 2020-05-27
Frequently asked questions
- What is Monte Nido Lake Vista, LLC's NPI number?
- Monte Nido Lake Vista, LLC's National Provider Identifier (NPI) is 1053934984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Monte Nido Lake Vista, LLC?
- Monte Nido Lake Vista, LLC is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Monte Nido Lake Vista, LLC located?
- Monte Nido Lake Vista, LLC's practice location on file with NPPES is 1776 Ivanhoe Ave, Lafayette, CA 94549-1954.
- What is Monte Nido Lake Vista, LLC's phone number?
- The practice phone number listed in the NPPES registry for Monte Nido Lake Vista, LLC is (305) 663-1876.
- Who is the authorized official for Monte Nido Lake Vista, LLC?
- The authorized official listed on Monte Nido Lake Vista, LLC's NPPES record is Mike Bagley, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Monte Nido Lake Vista, LLC's NPI active?
- Yes — Monte Nido Lake Vista, LLC's NPI (1053934984) is active in the NPPES registry as of the last update on 2020-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.