Organization Active NPI

San Gabriel Women'S Health Inc

  • Medical Specialty Clinic/Center
  • Arcadia, CA
National Provider Identifier
1356374359
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
G60420 Issued in CA
Legal business name
SAN GABRIEL WOMEN'S HEALTH INC
Practice address
601 Las Tunas Dr
101
Arcadia, CA 91007-8483
Phone
(626) 462-0000
Fax
(626) 462-0082
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Margaret M Juarez, M.D.NPI 1093707788
Title
Owner
Phone
(626) 462-0000

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
Medical Specialty Clinic/Center 261QM2500X G60420 CA Primary

Addresses

Primary practice location

601 Las Tunas Dr
101
Arcadia, CA 91007-8483

Mailing address

601 Las Tunas Dr
101
Arcadia, CA 91007-8483
Phone (626) 462-0000

Other identifiers 2

IdentifierTypeStateIssuer
GR0069250MedicaidCA
00G604203MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050622000352 CA Part B Supplier - Clinic/Group Practice 4284679127 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0872745San Gabriel Women'S Health601 Las Tunas Dr Ste 101, Arcadia, CA 91007Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory

Locations

601 Las Tunas Dr
Ste 101
Arcadia, CA 91007
Phone (626) 462-0000

1168 San Gabriel Blvd
Ste Cd
Rosemead, CA 91770

1168 San Gabriel Blvd
Rosemead, CA 91770
Phone (818) 572-3230

1168 San Gabriel Blvd
Ste C
Rosemead, CA 91770

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356374359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 LAS TUNAS DR",
            "address_2": "101",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078483",
            "telephone_number": "626-462-0000",
            "fax_number": "626-462-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 LAS TUNAS DR",
            "address_2": "101",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078483",
            "telephone_number": "626-462-0000",
            "fax_number": "626-462-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL WOMEN'S HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-462-0000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G60420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0069250",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G604203",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.