Utah Lake Holdings LLC
NPI 1326738345 · Skilled Nursing Facility · San Diego, CA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Utah Lake Holdings LLC is a Skilled Nursing Facility organization in San Diego, CA (NPI 1326738345).
Provider details
- NPI number
- 1326738345
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Toby Tilford, Manager(858) 798-5700
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
3 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
Registry dates
- Enumerated
- 2023-05-12
- Last updated
- 2023-05-12
- Certified
- 2023-05-12
Frequently asked questions
- What is Utah Lake Holdings LLC's NPI number?
- Utah Lake Holdings LLC's National Provider Identifier (NPI) is 1326738345, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Utah Lake Holdings LLC?
- Utah Lake Holdings LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Utah Lake Holdings LLC located?
- Utah Lake Holdings LLC's practice location on file with NPPES is 4075 54th St, San Diego, CA 92105-2301.
- What is Utah Lake Holdings LLC's phone number?
- The practice phone number listed in the NPPES registry for Utah Lake Holdings LLC is (858) 798-5700.
- Does Utah Lake Holdings LLC accept Medicare?
- Utah Lake Holdings 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 Utah Lake Holdings LLC?
- The authorized official listed on Utah Lake Holdings LLC's NPPES record is Toby Tilford, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Utah Lake Holdings LLC's NPI active?
- Yes — Utah Lake Holdings LLC's NPI (1326738345) is active in the NPPES registry as of the last update on 2023-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.