Organization Active NPI

Umma Adult Day Health Center

  • Adult Day Care Clinic/Center
  • Tustin, CA
National Provider Identifier
1063143444
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
UMMA ADULT DAY HEALTH CENTER
Practice address
14471 Chambers Rd Ste 105
Tustin, CA 92780-6969
Phone
(949) 322-7811
Fax
(909) 635-6011
NPI assigned
Jun 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Mr. Shahid Chaudhry, NHA
Title
Administrator
Phone
(949) 322-7811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

14471 Chambers Rd Ste 105
Tustin, CA 92780-6969

Mailing address

14471 Chambers Rd Ste 105
Tustin, CA 92780-6969
Phone (949) 322-7811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1063143444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14471 CHAMBERS RD STE 105",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806969",
            "telephone_number": "949-322-7811",
            "fax_number": "909-635-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14471 CHAMBERS RD STE 105",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806969",
            "telephone_number": "949-322-7811",
            "fax_number": "909-635-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMMA ADULT DAY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-322-7811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.