Organization Active NPI

The George G. Glenner Alzheimer's Family Centers, Inc

  • Adult Day Care Clinic/Center
  • San Diego, CA
National Provider Identifier
1275170136
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
THE GEORGE G. GLENNER ALZHEIMER'S FAMILY CENTERS, INC
Practice address
3686 4TH Ave
San Diego, CA 92103-4106
Phone
(619) 543-4704
Fax
(619) 543-5145
NPI assigned
Dec 10, 2019
Last updated
Dec 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Scott Tarde
Title
Ceo/Executive Director
Phone
(619) 543-4700

Specialties & licenses 1

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

Addresses

Primary practice location

3686 4TH Ave
San Diego, CA 92103-4106

Mailing address

2765 Main St Ste a
Chula Vista, CA 91911-4846
Phone (619) 543-4700

National Provider Directory

National Provider Directory
Tax ID family
The George G Glenner Alzheimer's Family Centers Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3686 4th Ave
San Diego, CA 92103
Phone (619) 543-4704

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1275170136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 MAIN ST STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919114846",
            "telephone_number": "619-543-4700",
            "fax_number": "619-295-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034106",
            "telephone_number": "619-543-4704",
            "fax_number": "619-543-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GEORGE G. GLENNER ALZHEIMER'S FAMILY CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "TARDE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-543-4700"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.