NPIMap

Organization Active NPI

G & C Swan Inc

Doing business as New Creation

  • Substance Abuse Rehabilitation Facility
  • Ontario, CA
National Provider Identifier
1497132765
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
360075DP Issued in CA
Legal business name
G & C SWAN INC
Doing business as
New Creation
Practice address
3286 E Guasti Rd Ste 100&110
Ontario, CA 91761-8645
Phone
(909) 476-2023
NPI assigned
May 6, 2015
Last updated
Sep 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Glenn Swanson, CADAC II, BS, MBA
Title
Ceo/Director
Phone
(909) 243-7321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 360075DP CA Primary

Addresses

Primary practice location

3286 E Guasti Rd Ste 100&110
Ontario, CA 91761-8645

Mailing address

333 E Arrow Hwy Unit 220
Upland, CA 91785-7008
Phone (909) 476-2023

Other names 1

  • New Creation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
G C Swan Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3286 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (909) 479-3836

3286 E Guasti Rd
Ste 100110
Ontario, CA 91761
Phone (909) 241-8594

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1497132765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E ARROW HWY UNIT 220",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917857008",
            "telephone_number": "909-476-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3286 E GUASTI RD STE 100&110",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618645",
            "telephone_number": "909-476-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & C SWAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "909-243-7321",
        "authorized_official_credential": "CADAC II, BS, MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "360075DP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Creation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Creation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.