SD Medical Center LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SD MEDICAL CENTER LLC.

Doing business as

SD Center Care

Practice address

721 Taft Ave.
El Cajon, CA 92020

Phone

(619) 647-8844

NPI assigned

Nov 13, 2024

Organization subpart

No

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

Authorized official

Name

Hana Gibo

Title

Ceo/Owner

Phone

(619) 647-8844

Specialties & licenses 1

Addresses

Other names 1

• SD Center Care Doing business as

Locations

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1518781806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 E PARK AVE STE 103",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203944",
            "telephone_number": "619-647-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 TAFT AVE.",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-647-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD MEDICAL CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "GIBO",
        "authorized_official_first_name": "HANA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "619-647-8844"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SD Center Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Scott-Mead, MFT
• Joann Lynn Scott, LCSW, RAS, BCD, CAS
• Katharine Scott
• Russel Glenn Scott
• Jessica Scouten
• SD Precision Inc
• Sdmed Inc
• Sdmed Inc
• Carissa Lynn Seaton
• Claudia Eileen Segraves

• Assisted Living Facility in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.