Arysa, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

LTC80160F Issued in CA

Legal business name

ARYSA, LLC

Doing business as

Gabriel ICF

Practice address

2155 W. Elm St.
Lodi, CA 95242

Phone

(209) 333-1904

Fax

(209) 368-2771

NPI assigned

Jan 12, 2007

Last updated

Dec 16, 2025By 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

Luz Marcos

Title

Owner/Licensee/ Administrator

Phone

(209) 598-1186

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gabriel ICF Doing business as

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

CLIA laboratory certificates

Tax ID family

Arysa LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Arysa LLC

  dba Alpine Icf

  • Intellectual Disabilities Intermediate Care Facility
  • Lodi, CA
  • NPI 1013183581
  NPD tax ID
• Arysa LLC

  dba Alpine Icf

  • Mental Illness Intermediate Care Facility
  • Lodi, CA
  • NPI 1528899820
  NPD tax ID
• Arysa, LLC

  dba Sunshine ICF, DDN

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lodi, CA
  • NPI 1437473063
  NPD tax ID
• Arysa, LLC

  dba Woodbridge Icf

  • Intellectual Disabilities Intermediate Care Facility
  • Woodbridge, CA
  • NPI 1902072473
  NPD tax ID

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1104976794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 GRANITE CT.",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95212",
            "telephone_number": "209-598-1186",
            "fax_number": "415-634-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 W. ELM ST.",
            "city": "LODI",
            "state": "CA",
            "postal_code": "95242",
            "telephone_number": "209-333-1904",
            "fax_number": "209-368-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARYSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "MARCOS",
        "authorized_official_first_name": "LUZ",
        "authorized_official_title_or_position": "OWNER/LICENSEE/ ADMINISTRATOR",
        "authorized_official_telephone_number": "209-598-1186"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "LTC80160F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80160F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gabriel ICF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rey Osana Arquines Sr., LVN
• Serissa Lilian Arreguin
• Artel LLC
• Arysa LLC (Alpine Icf)
• Arysa LLC (Alpine Icf)
• Arysa, LLC (Sunshine ICF, DDN)
• Deanna Aschwanden, CD
• Marcia M Asgarian, PHD
• Ezell Askew Jr., MD
• Assist Transport

• Intellectual Disabilities Intermediate Care Facility in Lodi, CA
• Providers in Lodi, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.