Centric Healthcare, a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTRIC HEALTHCARE, A PROFESSIONAL CORPORATION

Practice address

506 W Valley Blvd Ste 300
San Gabriel, CA 91776-5716

Phone

(626) 288-8288

Fax

(626) 288-9488

NPI assigned

Aug 7, 2020

Organization subpart

No

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

Authorized official

Name

Prudence Lu, NP

Title

Clinical Director

Phone

(626) 288-8288

Specialties & licenses 1

Addresses

Other names 1

• Centric Healthcare, A Professional Coporation Former legal business name

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1295345882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W VALLEY BLVD STE 300",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917765716",
            "telephone_number": "626-288-8288",
            "fax_number": "626-288-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W VALLEY BLVD STE 300",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917765716",
            "telephone_number": "626-288-8288",
            "fax_number": "626-288-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRIC HEALTHCARE, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "PRUDENCE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "626-288-8288",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prudence.lu@centrichealthcare.net",
            "affiliation": "N",
            "endpointDescription": "Clinical Director",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "506 W Valley Blvd Ste 300",
            "city": "San Gabriel",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917765716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prudence.lu@centrichealthcare.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "San Gabriel",
            "address_1": "506 W Valley Blvd Ste 300",
            "city": "San Gabriel",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917765716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Centric Healthcare, A Professional Coporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jimmy Castaneda
• Alejandro Castillo Arellano
• Elena Victoria Castillo
• Jordan Castillo
• CBC Education, Inc.
• James Chae, D.D.S.
• Anait Chakhalyan
• Daniel K Cham, MD
• Chan & Chan DDS Inc
• Brenda M Chan, DNP, FNP, RN-BC

• Internal Medicine Physician in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.