Active NPI
Mikkon Adult Day Health Care Center
- Adult Day Care Clinic/Center
- West Covina, CA
National Provider Identifier
1285796631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- MIKKON ADULT DAY HEALTH CARE CENTER
- Practice address
- 2211 E Garvey Ave N
West Covina, CA 91791-1500 - Phone
- (626) 967-0812
- NPI assigned
- Dec 14, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. Michael Chai
- Title
- Program Director
- Phone
- (626) 967-0812
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
2211 E Garvey Ave N
West Covina, CA 91791-1500
Mailing address
2211 E Garvey Ave N
West Covina, CA 91791-1500
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1000083 | Mikkon Adult Day Health Care Center | Certificate of waiver | Jun 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
2211 E Garvey Ave N
West Covina, CA 91791
Phone (626) 967-0812
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- West Covina, CA
- NPI 1508326513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285796631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 E GARVEY AVE N",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917911500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 E GARVEY AVE N",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917911500",
"telephone_number": "626-967-0812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIKKON ADULT DAY HEALTH CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHAI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "626-967-0812",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.