Active NPI
Premierone Plus Cbas
Doing business as Gaon Adult Day Care
- Adult Day Care Clinic/Center
- Anaheim, CA
National Provider Identifier
1043006687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- PREMIERONE PLUS CBAS
- Doing business as
- Gaon Adult Day Care
- Practice address
- 1035 N Magnolia Ave
Anaheim, CA 92801-3116 - Phone
- (714) 495-4392
- Fax
- (714) 388-3354
- NPI assigned
- Apr 18, 2025
- Last updated
- Jul 14, 2025
- 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
- Joseph Park
- Title
- Manager
- Phone
- (714) 495-4392
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Adult Day Care Clinic/Center | 261QA0600X | NU | Primary | |
| Community Health Clinic/Center | 261QC1500X | NU | ||
| Health Service Clinic/Center | 261QH0100X | NU | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Physical Therapy Clinic/Center | 261QP2000X | NU | ||
| Meals Provider | 174200000X | NU |
Addresses
Primary practice location
1035 N Magnolia Ave
Anaheim, CA 92801-3116
Mailing address
6800 Lincoln Ave Ste 200
Buena Park, CA 90620-4164
Phone (144) 954-3927
Other names 1
- Gaon Adult Day Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Prosthetist
- Los Angeles, CA
- NPI 1700568284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752451200000",
"number": "1043006687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 LINCOLN AVE STE 200",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204164",
"telephone_number": "144-954-3927",
"fax_number": "714-388-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 N MAGNOLIA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928013116",
"telephone_number": "714-495-4392",
"fax_number": "714-388-3354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIERONE PLUS CBAS",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-18",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "714-495-4392"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gaon Adult Day Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.