NPIMap

Organization Active NPI

Beach Adhc, Inc.

  • Adult Day Care Clinic/Center
  • Buena Park, CA
National Provider Identifier
1356173454
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BEACH ADHC, INC.
Practice address
4560 Beach Blvd
Buena Park, CA 90621-1100
Phone
(714) 335-6074
Fax
(714) 523-3706
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Su Yong PakNPI 1437169372
Title
Owner
Phone
(714) 335-6074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

4560 Beach Blvd
Buena Park, CA 90621-1100

Mailing address

4560 Beach Blvd
Buena Park, CA 90621-1100
Phone (714) 335-6074

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1356173454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211100",
            "telephone_number": "714-335-6074",
            "fax_number": "714-523-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211100",
            "telephone_number": "714-335-6074",
            "fax_number": "714-523-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH ADHC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "SU YONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-335-6074"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.