Vista Cove at San Gabriel, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197606796 Issued in CA

Legal business name

VISTA COVE AT SAN GABRIEL, INC.

Practice address

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

Phone

(626) 289-8889

Fax

(626) 289-1461

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Bonaparte H Liu

Title

Treasurer

Phone

(949) 205-4060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1881025898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAN JOAQUIN PLZ STE 350",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605969",
            "telephone_number": "949-205-4052",
            "fax_number": "949-205-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W SANTA ANITA ST",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761018",
            "telephone_number": "626-289-8889",
            "fax_number": "626-289-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA COVE AT SAN GABRIEL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "BONAPARTE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-205-4060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197606796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Mary Venne, SLPA
• Devin Vergo, PPS
• Viewpoint Pharmacy
• Michelle Escobar Villarino
• Vision San Gabriel Optometry, Inc.
• Vista Cove Care Center at San Gabriel, Inc.
• W Richard Bukata MD Inc.
• W. Richard Bukata
• Sze Man Wah, NP
• Walgreen Co

• Assisted Living Facility in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.