Active NPI
Rector Wardens and Vestry of the Church of Our Saviour in San Gabriel
- Primary Care Clinic/Center
- El Monte, CA
National Provider Identifier
1245248376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- RECTOR WARDENS AND VESTRY OF THE CHURCH OF OUR SAVIOUR IN SAN GABRIEL
- Practice address
- 4368 Santa Anita Ave
El Monte, CA 91731-1606 - Phone
- (626) 579-2190
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denis M O'Pray
- Title
- Rector
- Phone
- (626) 828-5147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | CA | Primary |
Addresses
Primary practice location
4368 Santa Anita Ave
El Monte, CA 91731-1606
Mailing address
535 W Roses Rd
San Gabriel, CA 91775-2205
Phone (626) 282-5147
Other names 1
- Cleaver Family Wellness Clinic
National Provider Directory
National Provider DirectoryLocations
4368 Santa Anita Ave
El Monte, CA 91731
Phone (626) 579-0290
535 W Roses Rd
San Gabriel, CA 91775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190937600000",
"number": "1245248376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 W ROSES RD",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917752205",
"telephone_number": "626-282-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4368 SANTA ANITA AVE",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311606",
"telephone_number": "626-579-2190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECTOR WARDENS AND VESTRY OF THE CHURCH OF OUR SAVIOUR IN SAN GABRIEL",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2007-09-28",
"status": "A",
"authorized_official_last_name": "O'PRAY",
"authorized_official_first_name": "DENIS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "RECTOR",
"authorized_official_telephone_number": "626-828-5147"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cleaver Family Wellness Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.