Vista Cove Care Center at San Gabriel, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VISTA COVE CARE CENTER AT SAN GABRIEL, INC.

Practice address

909 W Santa Anita St
San Gabriel, CA 91776-1018

Phone

(626) 289-5365

Fax

(626) 289-9503

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bonaparte Liu

Title

Treasurer

Phone

(626) 644-4664

Specialties & licenses 1

Addresses

Other names 1

• Vista Cove Care Center at San Gabriel Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1659458271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W SANTA ANITA ST",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761018",
            "telephone_number": "626-289-5365",
            "fax_number": "626-289-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W SANTA ANITA ST",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761018",
            "telephone_number": "626-289-5365",
            "fax_number": "626-289-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA COVE CARE CENTER AT SAN GABRIEL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "BONAPARTE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "626-644-4664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Cove Care Center at San Gabriel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devin Vergo, PPS
• Viewpoint Pharmacy
• Michelle Escobar Villarino
• Vision San Gabriel Optometry, Inc.
• Vista Cove at San Gabriel, Inc.
• W Richard Bukata MD Inc.
• W. Richard Bukata
• Sze Man Wah, NP
• Walgreen Co
• Zhijing ZW Wan, AC20119

• Skilled Nursing Facility in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.