OrganizationActive
Pasadena Villa, Inc
NPI 1720689755 · Assisted Living Facility · Pasadena, CA
Pasadena Villa, Inc is a Assisted Living Facility organization in Pasadena, CA (NPI 1720689755).
Provider details
- NPI number
- 1720689755
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kandice Vergara Williams, Executive Director(310) 413-8717
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1811 N Raymond Ave
Pasadena, CA 91103-1840
Phone: (310) 413-8717
Fax: (818) 927-6066
Street-level locationGet directions
Mailing address
1811 N Raymond Ave
Pasadena, CA 91103-1840
Other names (DBA / former)
- Other name
- Pasadena Villa Senior Living
Registry dates
- Enumerated
- 2020-11-05
- Last updated
- 2020-11-05
- Certified
- 2020-11-05
Frequently asked questions
- What is Pasadena Villa, Inc's NPI number?
- Pasadena Villa, Inc's National Provider Identifier (NPI) is 1720689755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pasadena Villa, Inc?
- Pasadena Villa, Inc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Pasadena Villa, Inc located?
- Pasadena Villa, Inc's practice location on file with NPPES is 1811 N Raymond Ave, Pasadena, CA 91103-1840.
- What is Pasadena Villa, Inc's phone number?
- The practice phone number listed in the NPPES registry for Pasadena Villa, Inc is (310) 413-8717.
- Who is the authorized official for Pasadena Villa, Inc?
- The authorized official listed on Pasadena Villa, Inc's NPPES record is Kandice Vergara Williams, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pasadena Villa, Inc's NPI active?
- Yes — Pasadena Villa, Inc's NPI (1720689755) is active in the NPPES registry as of the last update on 2020-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.