3Gencare, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

9500000092 Issued in CA

Legal business name

3GENCARE, INC

Doing business as

San Marino Manor

Practice address

6812 Oak Ave
San Gabriel, CA 91775-2030

Phone

(626) 446-5263

Fax

(626) 446-8109

NPI assigned

Apr 4, 2011

Last updated

Feb 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheryl A Petterson

Title

Manager

Phone

(310) 625-2838

Specialties & licenses 1

Addresses

Other names 1

• San Marino Manor Doing business as

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1750670469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 GRAND AVE STE A",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105491",
            "telephone_number": "310-625-2838",
            "fax_number": "323-846-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 OAK AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752030",
            "telephone_number": "626-446-5263",
            "fax_number": "626-446-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3GENCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "PETTERSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-625-2838"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "9500000092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Marino Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A Sun Medical Clinic Co
• A.L. U.S./San Gabriel Senior Housing, L.P. (Sunrise Assisted Living At San Marino)
• A&E Medical and Healthcare
• Aaron I Jeng MD Inc
• Christa Abilez

• 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 Feb 19, 2024; 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.