NPIMap

Organization Active NPI

Planned Parenthood Pasadena and San Gabriel Valley Inc

Doing business as Planned Parenthood Pasadena - Glendora

  • Community Health Clinic/Center
  • Glendora, CA
National Provider Identifier
1497094114
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC
Doing business as
Planned Parenthood Pasadena - Glendora
Practice address
130 W Route 66
Suite 100
Glendora, CA 91740-6249
Phone
(626) 644-7926
Fax
(626) 644-7935
NPI assigned
Feb 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Bethany Eshleman, MBA
Title
VP of Patient Services
Phone
(626) 794-5737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 960000134 CA
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

130 W Route 66
Suite 100
Glendora, CA 91740-6249

Mailing address

620 N Lake Ave
Pasadena, CA 91101-1220
Phone (626) 794-5737

Other identifiers 2

IdentifierTypeStateIssuer
1497094114MedicaidCA
550002371OtherCALICENSE

Other names 1

  • Planned Parenthood Pasadena - Glendora Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210511001009 CA Part B Supplier - Clinic/Group Practice 8628487352 Receives reassigned benefits from 24 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Highland Park, CA; Pasadena, CA; Glendora, CA; Baldwin Park, CA; Alhambra, CA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

130 W Route 66
Ste 100
Glendora, CA 91740
Phone (626) 644-7926

5903 N Figueroa St
Los Angeles, CA 90042
Phone (626) 798-0706

1045 N Lake Ave
Pasadena, CA 91104
Phone (626) 794-5737

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1497094114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011220",
            "telephone_number": "626-794-5737",
            "fax_number": "626-390-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W ROUTE 66",
            "address_2": "SUITE 100",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406249",
            "telephone_number": "626-644-7926",
            "fax_number": "626-644-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "ESHLEMAN",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "VP OF PATIENT SERVICES",
        "authorized_official_telephone_number": "626-794-5737",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "960000134",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497094114",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "550002371",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood Pasadena - Glendora",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.