Diabetes Care Pharmacy

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

DIABETES CARE PHARMACY

Doing business as

Diabetes Care Partners

Practice address

336 1/2 S Glendora Ave Ste C
West Covina, CA 91790-3060

Phone

(626) 814-0111

NPI assigned

Mar 6, 2007

Last updated

Dec 14, 2022By 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

Tony SongNPI 1902628944

Title

Ceo

Phone

(626) 488-0692

Specialties & licenses 2

Addresses

Other names 1

• Diabetes Care Partners Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tony Song

  • Health & Wellness Coach
  • West Covina, CA
  • NPI 1902628944
  NPD Authorized official
• Cecilia Mendoza

  • Health & Wellness Coach
  • West Covina, CA
  • NPI 1932921970
  NPD
• Victor Olague

  • Health & Wellness Coach
  • West Covina, CA
  • NPI 1467274415
  NPD
• Kelley Song, PHARM.D.

  • Pharmacist
  • West Covina, CA
  • NPI 1649385022
  NPD
• Rosa Ordaz

  • Community Health Worker
  • West Covina, CA
  • NPI 1427917848
  NPD (past)
• Sherri Pinero, RD

  • Registered Dietitian
  • Riverside, CA
  • NPI 1629212097
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1871623280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 W GARVEY AVE N",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 1/2 S GLENDORA AVE STE C",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903060",
            "telephone_number": "626-814-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-488-0692"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes Care Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deval Patel Optometric Corporation
• DFW ABA Center of West Covina (Ever Sunshine Inc.)
• Sadhna Dhand, M.D.
• Sara Dhand, MD
• Subhash Dhand, M.D.
• Stacey Diaz Banuelos
• Carla Diaz, FNP, NP-C
• Cristina Angelica Diaz
• Danielle Diaz
• Diana Diaz

• Health Service Clinic/Center in West Covina, CA
• Providers in West Covina, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.