Organization Active NPI

Jgelt Corporation

  • Adult Day Care Clinic/Center
  • San Diego, CA
National Provider Identifier
1609920305
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
JGELT CORPORATION
Doing business as
Casa Pacifica ADHC Center
Practice address
1424 30TH St
Suite C
San Diego, CA 92154-3421
Phone
(619) 424-8181
Fax
(619) 424-8151
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Luba Vaisman
Title
President Administrator
Phone
(619) 424-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

1424 30TH St
Suite C
San Diego, CA 92154-3421

Mailing address

1424 30TH St
Suite C
San Diego, CA 92154-3421
Phone (619) 424-8181

Other identifiers 1

IdentifierTypeStateIssuer
ADU70229FMedicaidCA

Other names 1

  • Casa Pacifica ADHC Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609920305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 30TH ST",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543421",
            "telephone_number": "619-424-8181",
            "fax_number": "619-424-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 30TH ST",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543421",
            "telephone_number": "619-424-8181",
            "fax_number": "619-424-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JGELT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAISMAN",
        "authorized_official_first_name": "LUBA",
        "authorized_official_title_or_position": "PRESIDENT  ADMINISTRATOR",
        "authorized_official_telephone_number": "619-424-8181"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70229F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Pacifica ADHC Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.