OrganizationActive
Ag La Mesa, LLC
NPI 1457345001 · Skilled Nursing Facility · La Mesa, CA
Provider details
- NPI number
- 1457345001
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Wintner, Manager(323) 651-1808
- License
- 080000020 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
5696 Lake Murray Boulevard
La Mesa, CA 91942
Phone: (619) 460-7871
Fax: (619) 460-4810
Street-level locationGet directions
Mailing address
5696 Lake Murray Boulevard
La Mesa, CA 91942
Other names (DBA / former)
- Doing business as
- Country Manor La Mesa Healthcare Center
Registry dates
- Enumerated
- 2005-09-08
- Last updated
- 2014-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.