OrganizationActive
Ijt9112 and Associates LLC
NPI 1982138996 · Assisted Living Facility · La Mesa, CA
Provider details
- NPI number
- 1982138996
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Edwards, Healthcare Administrator(619) 954-0963
- License
- 374603906 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
9112 Wakarusa St
La Mesa, CA 91942-3308
Phone: (619) 741-2499
Street-level locationGet directions
Mailing address
9112 Wakarusa St
La Mesa, CA 91942-3308
Registry dates
- Enumerated
- 2017-04-17
- Last updated
- 2023-12-28
- Certified
- 2023-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.