Organization Active NPI

Southern California Health Care

  • Adult Day Care Clinic/Center
  • Norwalk, CA
National Provider Identifier
1124242664
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
SOUTHERN CALIFORNIA HEALTH CARE
Practice address
13000 San Antonio Dr
Norwalk, CA 90650-4335
Phone
(562) 929-4345
NPI assigned
Apr 13, 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
Les Spoelstra
Title
Executive Director
Phone
(909) 335-0840

Specialties & licenses 1

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

Addresses

Primary practice location

13000 San Antonio Dr
Norwalk, CA 90650-4335

Mailing address

415 Tennessee St
Redlands, CA 92373-8168

National Provider Directory

National Provider Directory
Tax ID family
Life Sharing2 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.

Locations

13000 San Antonio Dr
Norwalk, CA 90650
Phone (562) 929-4345

415 Tennessee St
Redlands, CA 92373

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124242664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 TENNESSEE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504335",
            "telephone_number": "562-929-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPOELSTRA",
        "authorized_official_first_name": "LES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-335-0840"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, 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.