Carson Adult Day Health Care Center,Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

CARSON ADULT DAY HEALTH CARE CENTER,INC.

Practice address

451 E Carson Plaza Dr
Suite 105
Carson, CA 90746-3247

Phone

(310) 354-0031

Fax

(310) 354-3939

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Emma Fajardo Castaneda, R.N

Title

Program Director

Phone

(310) 354-0078

Specialties & licenses 1

Addresses

Other names 1

• C & C Carson Adult Day Health Care Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1992993661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11067",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907491067",
            "telephone_number": "310-354-0031",
            "fax_number": "310-354-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E CARSON PLAZA DR",
            "address_2": "SUITE 105",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463247",
            "telephone_number": "310-354-0031",
            "fax_number": "310-354-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON ADULT DAY HEALTH CARE CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "FAJARDO",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "310-354-0078",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C & C Carson Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nathaniel O Carpena
• Carson Artificial Kidney Center, LLC
• Carson Eye Care Optometry, Inc
• Carson Foot Clinic a Podiatrist Group Inc
• Carson Healthcare Services LLC
• Carson Wellness Pharmacy Inc

• All providers in Carson, CA
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.