Active NPI
San Gabriel Adhc Assoc.
- Adult Day Care Clinic/Center
- Alhambra, CA
National Provider Identifier
1457543118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 060000700
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ADU70189F | Medicaid | CA |
Other names 1
- ABC Therapy Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0988788 | San Gabriel Adhc Assoc | Certificate of waiver | Jul 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Donnie C Salcedo, OTA
- Elizabeth Saldana
- Alyssa Barbara Salgado
- Mikaela Jazmin Pecson Sampayan
- Samuel W Chung, M.D., Inc.
- San Gabriel Valley Physical Therapy, Inc.
- San Gabriel Valley Urology Group, a Medical Corporation
- Breanna Victoria San Miguel
- Andrea Santamaria Sanchez, MS., BCBA
- Donna Sanchez, DACM, LAC
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.