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NPI 1760660336 · Intellectual Disabilities Intermediate Care Facility · Vista, CA
Provider details
- NPI number
- 1760660336
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Herminio Deleon, Owner(760) 842-5147
- License
- LTC80409F (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
411 Dennis Dr
Vista, CA 92083-7776
Phone: (760) 842-5147
Fax: (760) 842-5148
Street-level locationGet directions
Mailing address
411 Dennis Dr
Vista, CA 92083-7776
Registry dates
- Enumerated
- 2008-02-06
- Last updated
- 2008-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.