Ca Reliable Medical Systems, Inc,

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

060000581 Issued in CA

Legal business name

CA RELIABLE MEDICAL SYSTEMS, INC,

Doing business as

Golden Life ADHC

Practice address

11110 Red Cedar Dr
San Diego, CA 92131-1310

Phone

(858) 776-1468

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Marina Sragovicz

Title

Administrator

Phone

(858) 779-4826

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Golden Life ADHC Doing business as

Tax ID family

Ca Reliable Medical Syst Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ca Reliable Medical Syst Inc

  dba Elm ADHC

  • Adult Day Care Clinic/Center
  • Imperial Beach, CA
  • NPI 1164615704
  NPD tax ID

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1093921900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 RED CEDAR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311310",
            "telephone_number": "858-776-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 RED CEDAR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311310",
            "telephone_number": "858-776-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA RELIABLE MEDICAL SYSTEMS, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "SRAGOVICZ",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "858-779-4826"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "0600921",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70319F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70407F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Life ADHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.