Organization Active NPI

San Dimas Retirement Center LLC

Doing business as San Dimas Retirement Center

  • Assisted Living Facility
  • San Dimas, CA
National Provider Identifier
1932370343
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
191500609 Issued in CA
Legal business name
SAN DIMAS RETIREMENT CENTER LLC
Doing business as
San Dimas Retirement Center
Practice address
834 W Arrow Hwy
San Dimas, CA 91773-2418
Phone
(909) 599-8441
NPI assigned
Mar 13, 2008
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Mr. Ira David Friedman
Title
Manager
Phone
(213) 389-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 191500609 CA Primary

Addresses

Primary practice location

834 W Arrow Hwy
San Dimas, CA 91773-2418

Mailing address

4032 Wilshire Blvd
Suite 600
Los Angeles, CA 90010-3405
Phone (213) 389-6900

Other names 1

  • San Dimas Retirement Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1932370343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 WILSHIRE BLVD",
            "address_2": "SUITE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103405",
            "telephone_number": "213-389-6900",
            "fax_number": "213-480-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 W ARROW HWY",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732418",
            "telephone_number": "909-599-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIMAS RETIREMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-389-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "191500609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Dimas Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Dimas Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.