Organization Active NPI

San Gabriel Adhc Assoc.

  • Adult Day Care Clinic/Center
  • Alhambra, CA
National Provider Identifier
1457543118
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
060000700 Issued in CA
Legal business name
SAN GABRIEL ADHC ASSOC.
Practice address
1645 W. Valley Blvd
Alhambra, CA 91803
Phone
(626) 570-0778
Fax
(626) 570-9665
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Lynn Yang
Title
Program Director
Phone
(626) 570-0778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 060000700 CA Primary

Addresses

Primary practice location

1645 W. Valley Blvd
Alhambra, CA 91803

Mailing address

1645 W. Valley Blvd
Alhambra, CA 91803
Phone (626) 570-0778

Other identifiers 1

IdentifierTypeStateIssuer
ADU70189FMedicaidCA

Other names 1

  • ABC Therapy Center Doing business as

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
05D0988788San Gabriel Adhc Assoc1645 W Valley Blvd, Alhambra, CA 91803Certificate of waiverJul 8, 2027

National Provider Directory

National Provider Directory

Locations

1645 W Valley Blvd
Alhambra, CA 91803
Phone (626) 570-0778

720 S Atlantic Blvd
Monterey Park, CA 91754

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1457543118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W. VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91803",
            "telephone_number": "626-570-0778",
            "fax_number": "626-570-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W. VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91803",
            "telephone_number": "626-570-0778",
            "fax_number": "626-570-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL ADHC ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "626-570-0778"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70189F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABC Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.