Active NPI
Spring Adult Day Health Care, Inc
- Public Health or Welfare Agency
- Walnut, CA
National Provider Identifier
1245444264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 060000934
- Legal business name
- SPRING ADULT DAY HEALTH CARE, INC
- Practice address
- 19648 Camino de Rosa
Walnut, CA 91789-2103 - Phone
- (626) 965-7833
- Fax
- (626) 964-5483
- NPI assigned
- May 9, 2007
- 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
- Kyung Jo
- Title
- Owner
- Phone
- (213) 505-3088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 060000934 | CA | Primary |
Addresses
Primary practice location
19648 Camino de Rosa
Walnut, CA 91789-2103
Mailing address
19648 Camino de Rosa
Walnut, CA 91789-2103
Phone (626) 965-7833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060000934 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722470400000",
"number": "1245444264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19648 CAMINO DE ROSA",
"city": "WALNUT",
"state": "CA",
"postal_code": "917892103",
"telephone_number": "626-965-7833",
"fax_number": "626-964-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19648 CAMINO DE ROSA",
"city": "WALNUT",
"state": "CA",
"postal_code": "917892103",
"telephone_number": "626-965-7833",
"fax_number": "626-964-5483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRING ADULT DAY HEALTH CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2024-08-01",
"status": "A",
"authorized_official_last_name": "JO",
"authorized_official_first_name": "KYUNG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "213-505-3088"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "CA",
"license": "060000934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060000934",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.