Organization Active NPI

A.L. U.S./San Gabriel Senior Housing, L.P.

Doing business as Sunrise Assisted Living At San Marino

  • Assisted Living Facility
  • San Gabriel, CA
National Provider Identifier
1881849362
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
A.L. U.S./SAN GABRIEL SENIOR HOUSING, L.P.
Doing business as
Sunrise Assisted Living At San Marino
Practice address
8332 Huntington Dr
San Gabriel, CA 91775-1038
Phone
(626) 292-7800
Fax
(626) 292-7804
NPI assigned
Nov 25, 2008
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Monica Pavelka
Title
Executive Director
Phone
(626) 292-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

8332 Huntington Dr
San Gabriel, CA 91775-1038

Mailing address

8332 Huntington Dr
San Gabriel, CA 91775-1038
Phone (626) 292-7800

Other names 1

  • Sunrise Assisted Living At San Marino Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2228586Sunrise Assisted Living of San Marino8332 Huntington Drive, San Gabriel, CA 91775Certificate of waiverJun 28, 2027

National Provider Directory

National Provider Directory

Locations

8332 Huntington Dr
San Gabriel, CA 91775
Phone (626) 292-7800

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1881849362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8332 HUNTINGTON DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917751038",
            "telephone_number": "626-292-7800",
            "fax_number": "626-292-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8332 HUNTINGTON DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917751038",
            "telephone_number": "626-292-7800",
            "fax_number": "626-292-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.L. U.S./SAN GABRIEL SENIOR HOUSING, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "PAVELKA",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-292-7800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Assisted Living At San Marino",
            "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 Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.