Organization Active NPI

Fontana Adult Day Health Care Center

  • Adult Day Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1093883654
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FONTANA ADULT DAY HEALTH CARE CENTER
Practice address
2309 Daly St
Los Angeles, CA 90031-2230
Phone
(323) 276-8149
Fax
(323) 276-8143
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Mr. Antonio Zamorano
Title
Cfo
Phone
(323) 276-8149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

2309 Daly St
Los Angeles, CA 90031-2230

Mailing address

2309 Daly St
Los Angeles, CA 90031-2230
Phone (323) 276-8149

Other identifiers 1

IdentifierTypeStateIssuer
ADU70298FMedicaidCA

National Provider Directory

National Provider Directory

Locations

2309 Daly St
Los Angeles, CA 90031
Phone (323) 222-4591

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1093883654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 DALY ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312230",
            "telephone_number": "323-276-8149",
            "fax_number": "323-276-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 DALY ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312230",
            "telephone_number": "323-276-8149",
            "fax_number": "323-276-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTANA ADULT DAY HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "ZAMORANO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-276-8149",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70298F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.