Pacific Gis Dba Sultan Adult Day Health Care Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

060000865 Issued in CA

Legal business name

PACIFIC GIS DBA SULTAN ADULT DAY HEALTH CARE CENTER

Practice address

125 W Cerritos Ave
Anaheim, CA 92805-6547

Phone

(714) 778-9000

Fax

(714) 778-9010

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Zohreh Shayan

Title

Administrator

Phone

(714) 778-9000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1508929340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W CERRITOS AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056547",
            "telephone_number": "714-778-9000",
            "fax_number": "714-778-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W CERRITOS AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056547",
            "telephone_number": "714-778-9000",
            "fax_number": "714-778-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC GIS DBA SULTAN ADULT DAY HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SHAYAN",
        "authorized_official_first_name": "ZOHREH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-778-9000"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.