College Vista, LLC
NPI 1194195164 · Skilled Nursing Facility · Los Angeles, CA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
College Vista, LLC is a Skilled Nursing Facility organization in Los Angeles, CA (NPI 1194195164).
Provider details
- NPI number
- 1194195164
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Adrian Dehghanmanesh, Cfo(714) 577-3880
- License
- 970000044 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
- College Vista Convalescent Hospital
- Doing business as
- College Vista Post-Acute
Registry dates
- Enumerated
- 2015-10-02
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Frequently asked questions
- What is College Vista, LLC's NPI number?
- College Vista, LLC's National Provider Identifier (NPI) is 1194195164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is College Vista, LLC?
- College Vista, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is College Vista, LLC located?
- College Vista, LLC's practice location on file with NPPES is 4681 North Eagle Rock Blvd, Los Angeles, CA 90041.
- What is College Vista, LLC's phone number?
- The practice phone number listed in the NPPES registry for College Vista, LLC is (323) 257-8151.
- Does College Vista, LLC accept Medicare?
- College Vista, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for College Vista, LLC?
- The authorized official listed on College Vista, LLC's NPPES record is Adrian Dehghanmanesh, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is College Vista, LLC's NPI active?
- Yes — College Vista, LLC's NPI (1194195164) is active in the NPPES registry as of the last update on 2026-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.