Active NPI
Clairemont Villa Adult Day Health Center
- Adult Day Care Clinic/Center
- San Diego, CA
National Provider Identifier
1376690909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- CLAIREMONT VILLA ADULT DAY HEALTH CENTER
- Practice address
- 10174 Old Grove Rd Ste 100
Ste. 101
San Diego, CA 92131 - Phone
- (858) 576-8575
- Fax
- (858) 576-8424
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander Avergoon
- Title
- Ceo/Owner
- Phone
- (858) 337-5483
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | CA | Primary |
Addresses
Primary practice location
10174 Old Grove Rd Ste 100
Ste. 101
San Diego, CA 92131
Mailing address
10174 Old Grove Rd Ste 100
Ste 101
San Diego, CA 92131
Phone (858) 576-8575
National Provider Directory
National Provider DirectoryLocations
10174 Old Grove Rd
Ste 100
San Diego, CA 92131
Phone (858) 576-8575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458864000000",
"number": "1376690909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10174 OLD GROVE RD STE 100",
"address_2": "STE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92131",
"telephone_number": "858-576-8575",
"fax_number": "858-576-8424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10174 OLD GROVE RD STE 100",
"address_2": "STE. 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92131",
"telephone_number": "858-576-8575",
"fax_number": "858-576-8424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAIREMONT VILLA ADULT DAY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2016-03-25",
"status": "A",
"authorized_official_last_name": "AVERGOON",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "858-337-5483"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.