Spectrum Adult Day Health Services Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SPECTRUM ADULT DAY HEALTH SERVICES INC

Practice address

4428 Convoy St Ste 288
San Diego, CA 92111-3761

Phone

(802) 430-7543

Fax

(856) 724-3302

NPI assigned

Feb 20, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Gary Polsky

Title

Owner

Phone

(858) 952-8531

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• San Diego Family Circle Adult Day Health Care Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1396201828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 BELLEVUE AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377303",
            "telephone_number": "858-952-8531",
            "fax_number": "858-724-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 CONVOY ST STE 288",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113761",
            "telephone_number": "802-430-7543",
            "fax_number": "856-724-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM ADULT DAY HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2022-11-01",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "POLSKY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-952-8531",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396201828",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Family Circle Adult Day Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Diego Family Circle Adult Day Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Catherine Spector, R.N
• Gerald M Spector, M.D.
• Matthew Spector
• Stacie Spector, MA, MFT
• Stephen Allen Spector, M.D.
• Spectrum Chiropractic an Ochoa-Rea Chiropractic Corporation
• Speech Etc. Language and Speech Therapy Inc.
• Speech Tree Speech Therapy Center, Inc.
• Chase Speed, IDC
• David Neal Spees, M.D.

• Adult Day Care Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.