Ccw La Jolla, LLC
NPI 1972574507 · 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)
Ccw La Jolla, LLC is a Skilled Nursing Facility organization in San Diego, CA (NPI 1972574507).
Provider details
- NPI number
- 1972574507
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tomek Koszylko, Counsel(312) 803-8443
- License
- 080000751 (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
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
Mailing address
Other names (DBA / former)
- Other name
- Vi at La Jolla Village
- Other name
- Vi at La Jolla Village
Registry dates
- Enumerated
- 2006-01-31
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Frequently asked questions
- What is Ccw La Jolla, LLC's NPI number?
- Ccw La Jolla, LLC's National Provider Identifier (NPI) is 1972574507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ccw La Jolla, LLC?
- Ccw La Jolla, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Ccw La Jolla, LLC located?
- Ccw La Jolla, LLC's practice location on file with NPPES is 4171 Las Palmas Sq, San Diego, CA 92122-6627.
- What is Ccw La Jolla, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ccw La Jolla, LLC is (858) 646-3400.
- Does Ccw La Jolla, LLC accept Medicare?
- Ccw La Jolla, 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 Ccw La Jolla, LLC?
- The authorized official listed on Ccw La Jolla, LLC's NPPES record is Tomek Koszylko, Counsel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ccw La Jolla, LLC's NPI active?
- Yes — Ccw La Jolla, LLC's NPI (1972574507) is active in the NPPES registry as of the last update on 2025-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.