Ccw La Jolla, LLC
Ccw La Jolla, LLC is a healthcare organization registered as Assisted Living Facility in San Diego, CA, holding Type 2 (organization) NPI 1154881464 since 2019. The authorized official on file is Tomek Koszylko, Counsel.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154881464 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ccw La Jolla, LLC |
| Practice address | 8515 COSTA VERDE BLVD, San Diego, CA, 92122 |
| Phone | 8586467700 |
| Enumeration date | 2019-03-22 |
| Last updated in NPPES | 2025-10-24 |
Authorized official
| Name | Tomek Koszylko |
|---|---|
| Title | Counsel |
| Phone | 3128038443 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | — | — |
Copy-ready billing details
Provider: Ccw La Jolla, LLC NPI: 1154881464 Taxonomy: 310400000X (Assisted Living Facility) Address: 8515 COSTA VERDE BLVD, San Diego, CA, 92122
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1780052860 | Alma Lopez | Individual | Physical Therapist | San Diego, CA |
| 1720569932 | Alyssa Daza | Individual | Physical Rehabilitation Occupational Therapist | San Diego, CA |
| 1588147003 | Caitlin Kemp | Individual | Physical Therapist | San Diego, CA |
| 1134794936 | Perry Henricksen | Individual | Physical Therapist | San Diego, CA |
| 1518535897 | Joseph Fernicola | Individual | Physical Therapist | San Diego, CA |
| 1871266759 | Nichole Sappe | Individual | Physical Therapy Assistant | San Diego, CA |
| 1093482457 | Barbara Ramirez | Individual | Occupational Therapy Assistant | San Diego, CA |
| 1720757446 | Kristina Scanlon | Individual | Physical Therapy Assistant | San Diego, CA |
Verify this record
Cross-check NPI 1154881464 against the authoritative CMS record: view Ccw La Jolla, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Ccw La Jolla, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-24.