Active NPI
Ahmc San Gabriel Valley Medical
- Psychiatric Hospital Unit
- San Gabriel, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 930000041
- Legal business name
- AHMC SAN GABRIEL VALLEY MEDICAL
- Practice address
- 438 W Las Tunas Dr
San Gabriel, CA 91776-1216 - Phone
- (626) 289-5454
- Fax
- (626) 257-6555
- NPI assigned
- Oct 19, 2011
- 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
- Linda Marsh
- Title
- Senior Vice President
- Phone
- (626) 457-7938
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 930000041 | CA | Primary |
Addresses
Primary practice location
438 W Las Tunas Dr
San Gabriel, CA 91776-1216
Mailing address
55 S Raymond Ave Ste 105
Alhambra, CA 91801-7101
Phone (626) 457-7938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080612000353 | CA | Part A Provider - Hospital | 5193819837 |
1 other NPI on this enrollment Practice locations: San Gabriel, CA |
Hospital certification: CCN 05S132
- Legal name
- AHMC SAN GABRIEL VALLEY MEDICAL
- Doing business as
- SAN GABRIEL VALLEY MEDICAL CENTER
- Organization structure
- Partnership
- Incorporated
- Jul 5, 2007 in CA
- Enrollment address
- 438 W Las Tunas Dr
San Gabriel, CA 91776-1216 - Hospital subgroups
- Acute care, Psychiatric unit
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- General Acute Care Hospital
- San Gabriel, CA
- NPI 1275720377
Unit of hospital
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- General Acute Care Hospital
- San Gabriel, CA
- NPI 1275720377
5193819837
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Acute Care Hospital
- San Gabriel, CA
- NPI 1275720377
O20080612000353
National Provider Directory
National Provider Directory- Tax ID family
- Ahmc San Gabriel Valley Medical Center LP
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1710174818
-
- Pharmacy
- San Gabriel, CA
- NPI 1679761910
-
- Long Term Care Pharmacy
- San Gabriel, CA
- NPI 1366484909
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Rehabilitation Hospital Unit
- Alhambra, CA
- NPI 1679602668
Member Of
Ownership & related parties
All disclosed owners & managing parties 20
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Linda Marsh | Corporate Officer | Dec 22, 2007 | |
| Ahmc, Inc. | 5% Or Greater Indirect Ownership Interest | Jun 30, 2014 | 5.77% |
| Sgvmc Healthcare Investment LP | 5% Or Greater Indirect Ownership Interest | Dec 22, 2007 | 99% |
| San Gabriel Healthcare Inc | Operational/Managerial Control | Dec 22, 2007 | |
| Las Tunas Limited Partnership | 5% Or Greater Indirect Ownership Interest | Dec 22, 2007 | 16.08% |
| Sgvmc Healthcare LP | 5% Or Greater Direct Ownership Interest | Dec 22, 2007 | 1% |
| General Partnership Interest | Dec 22, 2007 | ||
| Operational/Managerial Control | Dec 22, 2007 | ||
| Andrew Joseph Grim | Corporate Officer | Sep 16, 2009 | |
| American Hospital Investment Inc | 5% Or Greater Indirect Ownership Interest | Dec 22, 2007 | 29.45% |
| Joy Yu Chu Lin | 5% Or Greater Indirect Ownership Interest | Dec 22, 2007 | 14.72% |
| Universal Capital Investment LP | 5% Or Greater Indirect Ownership Interest | Dec 22, 2007 | 12.7% |
| Yi Kun Wu | 5% Or Greater Indirect Ownership Interest | Dec 22, 2007 | 17.85% |
| Jonathan Y.H. Wu | 5% Or Greater Indirect Ownership Interest | Sep 18, 2007 | 18.12% |
| Corporate Officer | Dec 22, 2007 | ||
| Corporate Director | Sep 18, 2007 | ||
| Huang Investments, LLC | 5% Or Greater Indirect Ownership Interest | Dec 22, 2007 | 12.09% |
| San Gabriel Healthcare LP | 5% Or Greater Indirect Ownership Interest | Dec 22, 2007 | 41.61% |
| Evergreen Trust | 5% Or Greater Indirect Ownership Interest | Jan 1, 2022 | 6.6% |
| Matthew Yuan Ching Lin | 5% Or Greater Indirect Ownership Interest | Dec 22, 2007 | 14.72% |
| Alhambra Hospital Medical Center, LP | 5% Or Greater Indirect Ownership Interest | Dec 22, 2007 | 16.83% |
| Eilyn Caballero | Corporate Officer | Oct 3, 2022 | |
| Tarinder Khatkar | Corporate Officer | Nov 6, 2025 | 100% |
| Operational/Managerial Control | Nov 6, 2025 | 100% | |
| Calmed Investment LP | 5% Or Greater Indirect Ownership Interest | Dec 22, 2007 | 23.75% |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Acute Care Hospital
- Alhambra, CA
- NPI 1134263254
5% Or Greater Indirect Ownership Interest
-
- Rehabilitation Hospital Unit
- Alhambra, CA
- NPI 1679602668
5% Or Greater Indirect Ownership Interest
-
- General Acute Care Hospital
- Alhambra, CA
- NPI 1770612756
5% Or Greater Indirect Ownership Interest
Facilities with the same owner 17
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1891938122
Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Universal Capital Investment LP
-
- Rehabilitation Hospital Unit
- Monterey Park, CA
- NPI 1619011608
Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Evergreen Trust, Universal Capital Investment LP
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Evergreen Trust, Universal Capital Investment LP
-
- General Acute Care Hospital
- South El Monte, CA
- NPI 1346232881
Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Universal Capital Investment LP
-
- Medicare Defined Swing Bed Hospital Unit
- South El Monte, CA
- NPI 1972603181
Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Evergreen Trust, Universal Capital Investment LP
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1780676221
Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Evergreen Trust, Universal Capital Investment LP
-
- General Acute Care Hospital
- San Gabriel, CA
- NPI 1275720377
Ahmc, Inc., Alhambra Hospital Medical Center, LP, American Hospital Investment Inc, Calmed Investment LP, Evergreen Trust, Huang Investments, LLC, Las Tunas Limited Partnership, San Gabriel Healthcare Inc, San Gabriel Healthcare LP, Sgvmc Healthc
-
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1710174818
Ahmc, Inc., Alhambra Hospital Medical Center, LP, American Hospital Investment Inc, Calmed Investment LP, Evergreen Trust, Huang Investments, LLC, Las Tunas Limited Partnership, San Gabriel Healthcare Inc, San Gabriel Healthcare LP, Sgvmc Healthc
-
- General Acute Care Hospital
- Daly City, CA
- NPI 1023636545
Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP
-
- General Acute Care Hospital
- Daly City, CA
- NPI 1386252112
Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Evergreen Trust
-
- Psychiatric Hospital Unit
- Daly City, CA
- NPI 1639797855
Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1023000569
Ahmc, Inc., Alhambra Hospital Medical Center, LP, Calmed Investment LP, Evergreen Trust, Universal Capital Investment LP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394582400000",
"number": "1487939724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 S RAYMOND AVE STE 105",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918017101",
"telephone_number": "626-457-7938",
"fax_number": "626-457-7908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 W LAS TUNAS DR",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761216",
"telephone_number": "626-289-5454",
"fax_number": "626-257-6555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHMC SAN GABRIEL VALLEY MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-19",
"last_updated": "2014-03-12",
"status": "A",
"authorized_official_last_name": "MARSH",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "626-457-7938"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "CA",
"license": "930000041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.