Organization Active NPI

Clairemont Villa Adult Day Health Center

  • Adult Day Care Clinic/Center
  • San Diego, CA
National Provider Identifier
1376690909
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Mar 25, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.