NPIMap

Organization Active NPI

2ND Century Adhc

  • Adult Day Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1962612952
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
2ND CENTURY ADHC
Practice address
2121 Beverly Blvd
Los Angeles, CA 90057-2203
Phone
(213) 483-1117
Fax
(213) 483-1127
NPI assigned
May 22, 2007
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. Aleks Gaiyan
Title
Program Director
Phone
(213) 483-1117

Specialties & licenses 1

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

Addresses

Primary practice location

2121 Beverly Blvd
Los Angeles, CA 90057-2203

Mailing address

2121 Beverly Blvd
Los Angeles, CA 90057-2203
Phone (213) 483-1117

Other identifiers 1

IdentifierTypeStateIssuer
ADU70226FOtherCAPROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

2121 Beverly Blvd
Los Angeles, CA 90057
Phone (213) 483-1117

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962612952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572203",
            "telephone_number": "213-483-1117",
            "fax_number": "213-483-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572203",
            "telephone_number": "213-483-1117",
            "fax_number": "213-483-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND CENTURY ADHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAIYAN",
        "authorized_official_first_name": "ALEKS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "213-483-1117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "ADU70226F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.