Organization Active NPI

Premierone Plus Cbas

Doing business as Gaon Adult Day Care

  • Adult Day Care Clinic/Center
  • Anaheim, CA
National Provider Identifier
1043006687
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Joseph ParkNPI 1700568284
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.