NPIMap

Organization Active NPI

Special Service for Groups, Inc.

  • Clinic/Center
  • Alhambra, CA
National Provider Identifier
1003947904
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPECIAL SERVICE FOR GROUPS, INC.
Practice address
1635 W Main St Ste 100
Alhambra, CA 91801-1951
Phone
(626) 248-1800
NPI assigned
Mar 9, 2007
Last updated
Feb 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Herbert K. Hatanaka
Title
Executive Director
Phone
(213) 553-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1635 W Main St Ste 100
Alhambra, CA 91801-1951

Mailing address

905 E 8TH St
Los Angeles, CA 90021-1848
Phone (213) 553-1800

Other names 1

  • SSG APCTC Alhambra Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031113000561 CA Part B Supplier - Clinic/Group Practice 2769396886 Receives reassigned benefits from 130 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Covina, CA; Van Nuys, CA; Palmdale, CA; Los Angeles, CA; Long Beach, CA; Gardena, CA; Cerritos, CA; Alhambra, CA

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Special Services for GR41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1003947904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E 8TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211848",
            "telephone_number": "213-553-1800",
            "fax_number": "213-553-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 W MAIN ST STE 100",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011951",
            "telephone_number": "626-248-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL SERVICE FOR GROUPS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "HATANAKA",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-553-1800"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSG APCTC Alhambra Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.