Organization Active NPI

Ahmc San Gabriel Valley Medical

  • General Acute Care Hospital
  • San Gabriel, CA
National Provider Identifier
1275720377
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
930000041 Issued in CA
Legal business name
AHMC SAN GABRIEL VALLEY MEDICAL
Practice address
438 W Las Tunas Dr
San Gabriel, CA 91776-1216
Phone
(626) 289-5454
Fax
(626) 257-6555
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Linda Marsh
Title
Senior Vice President
Phone
(626) 457-7938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 930000041 CA Primary

Addresses

Primary practice location

438 W Las Tunas Dr
San Gabriel, CA 91776-1216

Mailing address

55 S Raymond Ave Ste 105
Alhambra, CA 91801
Phone (626) 457-7938

Other names 1

  • AHMC San Gabreil Valley Medical Center, LP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070925000679 CA Part A Provider - Hospital 5193819837 Practice locations: San Gabriel, CA
O20080612000353 CA Part A Provider - Hospital 5193819837 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Gabriel, CA

Hospital certification: CCN 050132

Legal name
AHMC SAN GABRIEL VALLEY MEDICAL
Doing business as
SAN GABRIEL VALLEY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 13, 2022
Beds
273
Ownership / control type
Private (for profit)
Most recent change of ownership
Dec 22, 2007 (5 total)
Organization structure
OtherProprietary
Incorporated
Jul 5, 2007 in CA
Enrollment address
438 W Las Tunas Dr
San Gabriel, CA 91776-1216
Hospital Psychiatric Unit
Hospital subgroups
Acute care, Psychiatric, Other

Hospital certification: CCN 05S132

Legal name
AHMC SAN GABRIEL VALLEY MEDICAL
Doing business as
SAN GABRIEL VALLEY MEDICAL CENTER
Organization structure
PartnershipProprietary
Incorporated
Jul 5, 2007 in CA
Enrollment address
438 W Las Tunas Dr
San Gabriel, CA 91776-1216
Hospital Psychiatric Unit
Hospital subgroups
Acute care, Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
San Gabriel Valley Medical CenterCCN 050132
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Linda Marsh Individual Corporate Officer Dec 22, 2007
Corporate OfficerSenior Executive Vice President Dec 22, 2007
Ahmc, Inc. Organization, Alhambra, CA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2014 5.77%
Sgvmc Healthcare Investment LP Organization, Alhambra, CA For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 22, 2007 99%
Limited Partnership Interest Dec 22, 2007
5% Or Greater Indirect Ownership Interest Dec 22, 2007 99%
San Gabriel Healthcare Inc Organization, Alhambra, CA Corporation, For-profit Operational/Managerial Control Dec 22, 2007
Las Tunas Limited Partnership Organization, Alhambra, CA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 22, 2007 16.08%
Sgvmc Healthcare LP Organization, Alhambra, CA For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 22, 2007 1%
General Partnership Interest Dec 22, 2007
Operational/Managerial Control Dec 22, 2007
Andrew Joseph Grim Individual Corporate OfficerCfo Sep 16, 2009
American Hospital Investment Inc Organization, Alhambra, CA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 22, 2007 29.45%
Joy Yu Chu Lin Individual 5% Or Greater Indirect Ownership Interest Dec 22, 2007 14.72%
Universal Capital Investment LP Organization, San Marino, CA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 22, 2007 12.7%
Yi Kun Wu Individual 5% Or Greater Indirect Ownership Interest Sep 18, 2007 17.85%
5% Or Greater Indirect Ownership Interest Dec 22, 2007 17.85%
Jonathan Y.H. Wu Individual 5% Or Greater Indirect Ownership Interest Sep 18, 2007 18.12%
Corporate Officer Dec 22, 2007
Corporate Director Sep 18, 2007
Huang Investments, LLC Organization, San Gabriel, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 22, 2007 12.09%
San Gabriel Healthcare LP Organization, Alhambra, CA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 22, 2007 41.61%
Evergreen Trust Organization, San Marino, CA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2022 6.6%
Matthew Yuan Ching Lin Individual 5% Or Greater Indirect Ownership Interest Dec 22, 2007 14.72%
Alhambra Hospital Medical Center, LP Organization, Alhambra, CA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 22, 2007 16.83%
Eilyn Caballero Individual Corporate OfficerCno Oct 3, 2022
Tarinder Khatkar Individual Corporate OfficerInterim Ceo Nov 6, 2025 100%
Operational/Managerial ControlInterim Ceo Nov 6, 2025 100%
Calmed Investment LP Organization, Alhambra, CA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 22, 2007 23.75%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Practitioners & affiliated clinicians

Affiliated clinicians 213

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 213

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1275720377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S RAYMOND AVE STE 105",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91801",
            "telephone_number": "626-457-7938",
            "fax_number": "626-457-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 W LAS TUNAS DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761216",
            "telephone_number": "626-289-5454",
            "fax_number": "626-257-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMC SAN GABRIEL VALLEY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "626-457-7938"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "930000041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHMC San Gabreil Valley Medical Center, LP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.