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College Vista, LLC

Skilled Nursing Facility in Los Angeles, CA · enumerated 2015 · authorized official Adrian Dehghanmanesh, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194195164

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Registry record

Entity type Organization (Type 2)
Legal business name College Vista, LLC
Other name <Unavail>
Practice address 4681 North Eagle Rock Blvd, Los Angeles, CA, 90041
Fax (323) 257-2187
Enumeration date Oct 2, 2015
Last updated in NPPES Mar 23, 2026

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 970000044 (CA) Primary

Authorized official

Name Adrian Dehghanmanesh
Title Cfo

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.

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Frequently asked questions

Where is College Vista, LLC located?
The practice location on file with NPPES is in Los Angeles, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-03-23. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-23.