Garden of Wilmington

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

191601613 Issued in CA

Legal business name

GARDEN OF WILMINGTON

Practice address

1311 W Anaheim St
Wilmington, CA 90744-4109

Phone

(310) 835-6366

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Thelma Flores, AD

Title

Boarding Care Administor

Phone

(310) 835-6366

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1245407972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 W ANAHEIM ST",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444109",
            "telephone_number": "310-835-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 W ANAHEIM ST",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444109",
            "telephone_number": "310-835-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN OF WILMINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "THELMA",
        "authorized_official_title_or_position": "BOARDING CARE ADMINISTOR",
        "authorized_official_telephone_number": "310-835-6366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AD"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "191601613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Gambino, CI42710524
• Gloria Cristina Gamez, DOULA CERTIFICATION
• Bryan Garcia Mazariegos
• Gayda Yody Garcia, MD
• Stephanie Marie Garcia
• Garfield Beach CVS LLC
• Mindy Gazula, DMD
• Alexia A Gil, LVN
• Joanne Giron
• Suzitte Daneen Giron

• Psychiatric Residential Treatment Facility in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.