Foothill Care Center, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

FOOTHILL CARE CENTER, INC.

Practice address

1758 Big Dalton Ave
Baldwin Park, CA 91706-5998

Phone

(626) 962-3274

Fax

(626) 337-2969

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard A Ruiz

Title

Administrator

Phone

(626) 962-3274

Specialties & licenses 1

Addresses

Other names 1

• Golden State Care Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G015

Legal name

GOLDEN STATE CARE CENTER

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Dec 1, 1978

Last certification

Feb 13, 2025

Beds

99

Ownership / control type

Private (proprietary)

Facility address

1758 N Big Dalton Avenue
Baldwin Park, CA 91706

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689655045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 BIG DALTON AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065998",
            "telephone_number": "626-962-3274",
            "fax_number": "626-337-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 BIG DALTON AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065998",
            "telephone_number": "626-962-3274",
            "fax_number": "626-337-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-962-3274",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden State Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eloise Flores
• Natalie Elizabeth Flores
• Anna Michelle Fong, MD
• Donald S. Fong, MD
• Edith Fong, LCSW
• Foothill Family Service
• Forever Young Adult Day Health Care Center
• Tammy L Franco, PT
• Sarah Evelyn Franklin, NP
• Friendly Dental Center

• Intellectual Disabilities Intermediate Care Facility in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.