San Gabriel Post Acute LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SAN GABRIEL POST ACUTE LLC

Practice address

6812 Oak Ave
San Gabriel, CA 91775-2030

Phone

(626) 446-5263

NPI assigned

Jun 18, 2019

Last updated

Jun 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Solorzano

Title

Manager

Phone

(626) 346-0300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1255991550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W LEMON AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162809",
            "telephone_number": "626-346-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 OAK AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752030",
            "telephone_number": "626-446-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "SOLORZANO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-346-0300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "555825",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Gabriel Healthcare & Wellness Centre, LP (Ivy Creek Healthcare & Wellness Centre)
• San Gabriel Medical Investors, LLC (Life Care Center of San Gabriel)
• San Gabriel Medical Investors, LLC (Life Care Center of San Gabriel)
• San Gabriel Nephrology Services LLC (Quality Dialysis Center)
• San Gabriel Pharmacy Inc
• San Gabriel Retina PC
• San Gabriel Unified School District
• San Gabriel Valley Consulting Pathologists Medical Group, Inc.
• San Gabriel Valley Eye Associates Inc
• San Gabriel Valley Foot and Ankle Clinic, Inc.

• Skilled Nursing Facility in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.