Active NPI
Well and Fit Adult Day Health Care, Inc
- Adult Day Care Clinic/Center
- Pomona, CA
National Provider Identifier
1013124072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 060000858
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1009430 | Well and Fit Adult Day Health Care, Inc | Certificate of waiver | Feb 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.