San Dimas Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SAN DIMAS CARE LLC

Practice address

1740 S San Dimas Ave
San Dimas, CA 91773-5108

Phone

(909) 394-0304

NPI assigned

Aug 25, 2023

Organization subpart

No

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

Authorized official

Name

Scott Kirby

Title

Manager

Phone

(619) 201-5888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1639954977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 S SAN DIMAS AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917735108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 S SAN DIMAS AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917735108",
            "telephone_number": "909-394-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIMAS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-201-5888"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Saldana, LCSW
• Yanessa Marie Salgado
• Mayra Salinas, OTR/L
• Gayle Samples, MFT
• San Dimas Anesthesia Medical Group
• San Dimas Community Hospital, Inc.
• San Dimas Community Hospital, Inc.
• San Dimas Counseling, LLC
• San Dimas Dialysis Center a Medical Corporation
• San Dimas Emergency Medical Associates Inc.

• Assisted Living Facility in San Dimas, CA
• Providers in San Dimas, 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 Aug 25, 2023; 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.