Med Site Hacienda Heights

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MED SITE HACIENDA HEIGHTS

Practice address

15060 E. Imperial Hwy
La Mirada, CA 90638

Phone

(562) 902-5305

Fax

(562) 902-0835

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Pat Bray, RN

Title

Vice President

Phone

(562) 902-7757

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A Day Away...ADHC Doing business as

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285841635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15060 E. IMPERIAL HWY",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "90638",
            "telephone_number": "562-902-5305",
            "fax_number": "562-902-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15060 E. IMPERIAL HWY",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "90638",
            "telephone_number": "562-902-5305",
            "fax_number": "562-902-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SITE HACIENDA HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "562-902-7757",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70185F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Day Away...ADHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Romelia Marttini, LVN
• Mary H. Patuwo DDS, Inc.
• Michael David Mauro, D.O.
• Mayberry'S
• Bob E. McClure, M.D.
• Medcare Plus Home Health Provider
• Meditech Solutions
• Mehdi Motakef D.D.S., M.S. Inc.
• Mehrabian & Ambarachyan Dental Corporation
• Mehrabian & Ambarachyan Dental Corporation

• Adult Day Care Clinic/Center in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Adult Day Care Clinic/Center in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.