San Gabriel Health Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

FNP34454 Issued in CA

Legal business name

SAN GABRIEL HEALTH CLINIC

Practice address

2630 San Gabriel Blvd
Suite 105
Rosemead, CA 91770-5204

Phone

(626) 288-2007

Fax

(626) 288-2116

NPI assigned

Jul 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bo Tan Huynh, M.D.NPI 1891718318

Title

President

Phone

(626) 288-2007

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Bo Tan Huynh, M.D.

  • Family Medicine Physician
  • Rosemead, CA
  • NPI 1891718318
  Medicare reassignment Care Compare group NPD Authorized official
• Christine Huongbuu Dinh, M.D.

  • Family Medicine Physician
  • Rosemead, CA
  • NPI 1770506206
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073534608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 SAN GABRIEL BLVD",
            "address_2": "SUITE 105",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917705204",
            "telephone_number": "626-288-2007",
            "fax_number": "626-288-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 SAN GABRIEL BLVD",
            "address_2": "SUITE 105",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917705204",
            "telephone_number": "626-288-2007",
            "fax_number": "626-288-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "BO",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-288-2007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "FNP34454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FICTITIOUS BUSINESS #",
            "identifier": "FNP34454",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruben M Ruiz III, MD
• Maria Saavedra, B. A.
• Mariana Salinas
• Sammy Yung DDS Inc
• San Gabriel Convalescent Center LLC (San Gabriel Convalescent Center)
• San Gabriel Senior Living, Inc. (California Mission Inn)
• Gretel San Juan, LVN
• Elmher Sanchez
• Lizeth Sanchez, SLPA
• Nelson Sanchez, NP

• Family Medicine Physician in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.