Organization Active NPI

Lotus Blossom Therapy Center

Doing business as Lotus Blossom Community Services

  • Adult Day Care Clinic/Center
  • Montebello, CA
National Provider Identifier
1952451064
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LOTUS BLOSSOM THERAPY CENTER
Doing business as
Lotus Blossom Community Services
Practice address
1305 W Beverly Blvd
Montebello, CA 90640-4144
Phone
(323) 346-0360
Fax
(323) 346-0361
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Herbert Ho
Title
Administrator
Phone
(323) 346-0360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

1305 W Beverly Blvd
Montebello, CA 90640-4144

Mailing address

1305 W Beverly Blvd
Montebello, CA 90640-4144

Other identifiers 1

IdentifierTypeStateIssuer
ADU70316FMedicaidCA

Other names 1

  • Lotus Blossom Community Services 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
05D0998782Lotus Blossom Therapy Center1305 W Beverly Blvd, Montebello, CA 90640Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Locations

1305 W Beverly Blvd
Montebello, CA 90640
Phone (323) 346-0360

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952451064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404144",
            "telephone_number": "323-346-0360",
            "fax_number": "323-346-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS BLOSSOM THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-346-0360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70316F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Blossom Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.