Active NPI
Trimica LLC
- Adult Day Care Clinic/Center
- Maywood, CA
National Provider Identifier
1992911077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- TRIMICA LLC
- Practice address
- 6061 Atlantic Blvd
Maywood, CA 90270-3118 - Phone
- (323) 773-3555
- Fax
- (323) 773-3444
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Chan
- Title
- Administrator
- Phone
- (323) 773-3555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | CA | Primary |
Addresses
Primary practice location
6061 Atlantic Blvd
Maywood, CA 90270-3118
Mailing address
6061 Atlantic Blvd
Maywood, CA 90270-3118
Phone (323) 773-3555
Other names 1
- Vista Adult Day Health Care Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0999971 | Vista Adult Day Health Care Center | Certificate of waiver | May 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
6061 Atlantic Blvd
Maywood, CA 90270
Phone (323) 773-3555
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": "1598054400000",
"number": "1992911077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6061 ATLANTIC BLVD",
"city": "MAYWOOD",
"state": "CA",
"postal_code": "902703118",
"telephone_number": "323-773-3555",
"fax_number": "323-773-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6061 ATLANTIC BLVD",
"city": "MAYWOOD",
"state": "CA",
"postal_code": "902703118",
"telephone_number": "323-773-3555",
"fax_number": "323-773-3444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIMICA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "323-773-3555",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vista Adult Day Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maywood, 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.