Active NPI
San Gabriel Medical Investors, LLC
- Skilled Nursing Facility
- San Gabriel, CA
National Provider Identifier
1689612202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SAN GABRIEL MEDICAL INVESTORS, LLC
- Practice address
- 909 W Santa Anita Ave
San Gabriel, CA 91776-1018 - Phone
- (626) 289-5365
- Fax
- (626) 289-9503
- NPI assigned
- Jun 4, 2006
- 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
- Cindy Cross
- Title
- Assistant Secretary
- Phone
- (423) 473-5867
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Primary |
Addresses
Primary practice location
909 W Santa Anita Ave
San Gabriel, CA 91776-1018
Mailing address
3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751
Other names 1
- Life Care Center of San Gabriel
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202774400000",
"number": "1689612202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 KEITH ST NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123713",
"telephone_number": "423-473-5751",
"fax_number": "423-339-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 W SANTA ANITA AVE",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761018",
"telephone_number": "626-289-5365",
"fax_number": "626-289-9503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN GABRIEL MEDICAL INVESTORS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2008-02-12",
"status": "A",
"authorized_official_last_name": "CROSS",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "423-473-5867"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Care Center of San Gabriel",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.