Organization Active NPI

Robertson Adhc

  • Adult Day Care Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1407950702
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADU70161F Issued in CA
Legal business name
ROBERTSON ADHC
Practice address
369 S Robertson Blvd
Beverly Hills, CA 90211
Phone
(310) 289-7711
Fax
(310) 289-7367
NPI assigned
Sep 8, 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
Eleonora Gordlik, MSW
Title
Program Director
Phone
(310) 289-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADU70161F CA Primary

Addresses

Primary practice location

369 S Robertson Blvd
Beverly Hills, CA 90211

Mailing address

369 S Robertson Blvd
Beverly Hills, CA 90211
Phone (310) 289-7711

Other identifiers 1

IdentifierTypeStateIssuer
AD470161FMedicaidCA

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
05D1006726Robertson Adhc369 S Robertson Blvd, Beverly Hills, CA 90211Certificate of waiverNov 25, 2026

National Provider Directory

National Provider Directory

Locations

369 S Robertson Blvd
Beverly Hills, CA 90211
Phone (310) 289-7711

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407950702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 S ROBERTSON BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-289-7711",
            "fax_number": "310-289-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 S ROBERTSON BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-289-7711",
            "fax_number": "310-289-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTSON ADHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDLIK",
        "authorized_official_first_name": "ELEONORA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "310-289-7711",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "ADU70161F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD470161F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, 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 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.