Organization Active NPI

Family Adult Day Healthcare

  • Adult Day Care Clinic/Center
  • Lomita, CA
National Provider Identifier
1104976612
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FAMILY ADULT DAY HEALTHCARE
Practice address
2280 Lomita Blvd
Lomita, CA 90717-1436
Phone
(310) 602-0123
Fax
(310) 602-0124
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Josephine Chavez
Title
Administrator
Phone
(310) 602-0123

Specialties & licenses 1

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

Addresses

Primary practice location

2280 Lomita Blvd
Lomita, CA 90717-1436

Mailing address

2280 Lomita Blvd
Lomita, CA 90717-1436
Phone (310) 602-0123

Other identifiers 1

IdentifierTypeStateIssuer
ADU70272GMedicaidCA

National Provider Directory

National Provider Directory

Locations

2280 Lomita Blvd
Lomita, CA 90717
Phone (310) 602-0123

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104976612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 LOMITA BLVD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171436",
            "telephone_number": "310-602-0123",
            "fax_number": "310-602-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 LOMITA BLVD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171436",
            "telephone_number": "310-602-0123",
            "fax_number": "310-602-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ADULT DAY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-602-0123",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "ADU70272G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.