Ywca San Gabriel Valley

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

YWCA SAN GABRIEL VALLEY

Practice address

943 N Grand Ave
Covina, CA 91724-2046

Phone

(626) 960-2995

Fax

(626) 814-0447

NPI assigned

Apr 12, 2019

Organization subpart

No

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

Authorized official

Name

Debra M. Ward, MPH

Title

Chief Executive Officer

Phone

(626) 960-2995

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet Braden, LCSW 133458

  • Clinical Social Worker
  • Corona, CA
  • NPI 1720748171
  NPD (past)
• Jonathan Maurice Wicks, ASW

  • Clinical Social Worker
  • Covina, CA
  • NPI 1952935116
  NPD (past)

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1326501628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 N GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242046",
            "telephone_number": "626-960-2995",
            "fax_number": "626-814-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 N GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242046",
            "telephone_number": "626-960-2995",
            "fax_number": "626-814-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YWCA SAN GABRIEL VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-960-2995",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamal Yousef, RPH
• Chong Yu, MFC
• Tiffany Yu
• Xiaojuan Yuan, PHARM.D, BCPP, APH
• Ika Yulianti
• Elsa Zacarias
• Taylor Presley Zacher
• Zaheib Idrees, D.O., a Professional Medical Corporation
• Angelina Zakour
• Alisha Zaman

• Community/Behavioral Health Agency in Covina, CA
• Providers in Covina, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.