Organization Active NPI

Well and Fit Adult Day Health Care, Inc

  • Adult Day Care Clinic/Center
  • Pomona, CA
National Provider Identifier
1013124072
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
060000858 Issued in CA
Legal business name
WELL AND FIT ADULT DAY HEALTH CARE, INC
Practice address
105 Mercury Circle
Pomona, CA 91768
Phone
(909) 860-0061
Fax
(909) 860-6801
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Mr. Walter Pao
Title
President
Phone
(909) 860-0061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 060000858 CA Primary

Addresses

Primary practice location

105 Mercury Circle
Pomona, CA 91768

Mailing address

105 Mercury Circle
Pomona, CA 91768
Phone (909) 860-0061

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1009430Well and Fit Adult Day Health Care, Inc105 Mercury Circle, Pomona, CA 91768Certificate of waiverFeb 12, 2027

National Provider Directory

National Provider Directory

Locations

105 Mercury Cir
Pomona, CA 91768
Phone (909) 860-0061

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1013124072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MERCURY CIRCLE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91768",
            "telephone_number": "909-860-0061",
            "fax_number": "909-860-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MERCURY CIRCLE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91768",
            "telephone_number": "909-860-0061",
            "fax_number": "909-860-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL AND FIT ADULT DAY HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "PAO",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-860-0061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.