Temple Garden Homes 4

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

9338734 Issued in CA

Legal business name

TEMPLE GARDEN HOMES 4

Practice address

5120 Baldwin Ave
Temple City, CA 91780-3901

Phone

(626) 444-2836

Fax

(626) 444-6090

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Diana Hernandez

Title

Administrative Coordinator

Phone

(626) 444-2836

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G432

Legal name

TEMPLE GARDEN HOMES IV

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jul 30, 2002

Last certification

Mar 20, 2025

Beds

6

Ownership / control type

Other (specify)

Facility address

5120 Baldwin Avenue
Temple City, CA 91780

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

Temple Garden Homes 43 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Temple Garden Homes 5

  • Intellectual Disabilities Intermediate Care Facility
  • Temple City, CA
  • NPI 1366580052
  NPD tax ID
• Temple Garden Homes for the Developmentally Disabled, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Los Angeles, CA
  • NPI 1417121310
  NPD tax ID

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114065802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 BALDWIN AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917803901",
            "telephone_number": "626-444-2836",
            "fax_number": "626-444-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 BALDWIN AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917803901",
            "telephone_number": "626-444-2836",
            "fax_number": "626-444-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE GARDEN HOMES 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "ADMINISTRATIVE COORDINATOR",
        "authorized_official_telephone_number": "626-444-2836"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "9338734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temple City Professional Pharmacy Inc.
• Temple City Unified School District
• Temple Garden Home #3
• Temple Garden Homes 1
• Temple Garden Homes 3
• Temple Garden Homes 5
• Thrifty Payless Inc
• Daryl Roy Topalian, PPS
• Oscar H Torres, DC
• Raymond Tran

• Intellectual Disabilities Intermediate Care Facility in Temple City, CA
• Providers in Temple City, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.