Active NPI
Alderwood Inc
- Skilled Nursing Facility
- San Gabriel, CA
National Provider Identifier
1639178197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 950000007
- Legal business name
- ALDERWOOD INC
- Practice address
- 115 Bridge St
San Gabriel, CA 91775-2719 - Phone
- (626) 289-4439
- Fax
- (626) 289-0056
- NPI assigned
- Jul 18, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ben H Garrett Jr.
- Title
- Ceo
- Phone
- (626) 282-8431
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 950000007 | CA | Primary |
Addresses
Primary practice location
115 Bridge St
San Gabriel, CA 91775-2719
Mailing address
115 Bridge St
San Gabriel, CA 91775-2719
Phone (626) 289-4439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055441 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Alderwood Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Ivy Creek Healthcare & Wellness Centre
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1063773075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275004800000",
"number": "1639178197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 BRIDGE ST",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917752719",
"telephone_number": "626-289-4439",
"fax_number": "626-289-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 BRIDGE ST",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917752719",
"telephone_number": "626-289-4439",
"fax_number": "626-289-0056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALDERWOOD INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-18",
"last_updated": "2010-05-28",
"status": "A",
"authorized_official_last_name": "GARRETT",
"authorized_official_first_name": "BEN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-282-8431",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "950000007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055441",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
- Ahmc San Gabriel Valley Medical (AHMC San Gabriel Valley Medical Center)
- Ahmc San Gabriel Valley Medical Center, LP
- Ashley Ahuatzi
- Albert Oh Dentistry PC (a plant dental)
- Perla Alcala, BA/BS
- Alethea T Hsu MD a Med Corporation
- Allen Kuo, M.D. (a Professional Corp.)
- Patricia Lynn Allen, MD
- Stacie M Allen, OTR/L
- Allergy Asthma Respiratory & Sinus Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.