Organization Active NPI

Crown City Adult Day Health Care Center Inc

  • Adult Day Care Clinic/Center
  • Pasadena, CA
National Provider Identifier
1972719185
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
060000645 Issued in CA
Legal business name
CROWN CITY ADULT DAY HEALTH CARE CENTER INC
Practice address
122 N El Molino Ave
Pasadena, CA 91101-1805
Phone
(626) 583-8822
Fax
(626) 583-8844
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Mr. Khatchak Danny Barsamian
Title
Ceo
Phone
(626) 583-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 060000645 CA Primary

Addresses

Primary practice location

122 N El Molino Ave
Pasadena, CA 91101-1805

Mailing address

122 N El Molino Ave
Pasadena, CA 91101-1805
Phone (626) 583-8822

Other identifiers 1

IdentifierTypeStateIssuer
ADU70216FMedicaidCA

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
05D0986099Crown City Adult Day Health Care Center122 N El Molino Ave, Pasadena, CA 91101Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Locations

122 N El Molino Ave
Pasadena, CA 91101
Phone (626) 583-8822

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1972719185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N EL MOLINO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011805",
            "telephone_number": "626-583-8822",
            "fax_number": "626-583-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N EL MOLINO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011805",
            "telephone_number": "626-583-8822",
            "fax_number": "626-583-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN CITY ADULT DAY HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "BARSAMIAN",
        "authorized_official_first_name": "KHATCHAK",
        "authorized_official_middle_name": "DANNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-583-8822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70216F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.