Habitat Health West Covina

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

HABITAT HEALTH WEST COVINA

Practice address

702 N Azusa Ave
West Covina, CA 91791-1010

Phone

(508) 212-9951

NPI assigned

Sep 8, 2025

Organization subpart

No

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

Authorized official

Name

Victoria Cleveland

Title

Manager, New Markets

Phone

(508) 212-9951

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1104707157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 ARKANSAS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072434",
            "telephone_number": "508-212-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911010",
            "telephone_number": "508-212-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABITAT HEALTH WEST COVINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "MANAGER, NEW MARKETS",
        "authorized_official_telephone_number": "508-212-9951"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ky Ha, D.D.S
• Miriam Ha, P.A.
• Pauline Huynh Ha, RN
• Tran Ha
• Sandra Habib
• William Henry Jonhson Haddad, LFMT
• Fred Farhad Hafezi, M.D.
• Gregory Lee Hagen
• Habib Ahmad Haidary, MD
• Minseo Ham

• PACE Provider Organization in West Covina, CA
• Providers in West Covina, CA by specialty
• PACE Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.