FONTANA ADULT DAY HEALTH CARE CENTER (NPI# 1093883654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093883654 |
| Entity Type | Organization |
| Organization Name | FONTANA ADULT DAY HEALTH CARE CENTER |
| Practice Address |
2309 Daly St Los Angeles CA 90031-2230 |
| Practice Telephone | 3232768149 |
| Practice Fax Number | 3232768143 |
| Mailing Telephone | 3232768149 |
| Mailing Fax Number | 3232768143 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-01-17 |
| Authorized Official Name | MR. ANTONIO ZAMORANO (CFO) |
| Authorized Official Telephone | 3232768149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ADU70298F | 05 |
| Street Address |
2309 DALY ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90031-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409010 | Pedram Moshfegh | Case Manager/Care Coordinator | 2309 Daly St, Los Angeles, CA 90031-2230 | 2018-06-05 |
| 1144728775 | Kelsey Gates | Marriage & Family Therapist | 2309 Daly St, Los Angeles, CA 90031-2230 | 2018-01-29 |
| 1962927079 | Navabeh Pezeshkan | Marriage & Family Therapist | 2309 Daly St, Los Angeles, CA 90031-2230 | 2017-08-09 |
| 1356866941 | Beradin Jebraeil Jezeh | Marriage & Family Therapist | 2309 Daly St, Los Angeles, CA 90031-2230 | 2017-08-04 |
| 1972023794 | Jinet Gharibian | Marriage & Family Therapist | 2309 Daly St, Los Angeles, CA 90031 | 2017-06-22 |
| 1407397995 | Stephanie Patton | Social Worker | 2309 Daly St, Los Angeles, CA 90031-2230 | 2017-03-16 |
| 1982143533 | Kevin Thomas | Marriage & Family Therapist | 2309 Daly St, Los Angeles, CA 90031-2230 | 2017-02-15 |
| 1518409408 | Janet Bravo | Rehabilitation Practitioner | 2309 Daly St, Los Angeles, CA 90031-2230 | 2016-11-09 |
| 1316496938 | Mireya Noemi Mayorga | Rehabilitation Practitioner | 2309 Daly St, Los Angeles, CA 90031-2230 | 2016-09-23 |
| 1437607629 | Dominique Anabalon | Student in an Organized Health Care Education/Training Program | 2309 Daly St, Los Angeles, CA 90031-2230 | 2016-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247031 | James Han | Counselor | 2010 Lincoln Park Ave., Los Angeles, CA 90031 | 2017-07-12 |
| 1457712200 | Arturo Ibarra D.d.s. Inc | Dentist | 2407 North Broadway, Los Angeles, CA 90031 | 2016-03-08 |
| 1083081780 | Blair Evans James | Social Worker | 434 E Avenue 28 Ste 106, Los Angeles, CA 90031 | 2015-08-28 |
| 1538578133 | Si Xu | Acupuncturist | 2415 Pasadena Ave, Los Angeles, CA 90031 | 2014-08-07 |
| 1346583309 | Arlene Mary Juarez | Counselor | 2309 Daly Street, Masa Youth Center, Los Angeles, CA 90031 | 2013-03-28 |
| 1770858250 | Rama Paliwal | Pediatrics | 1025 Daly St, Jchs, Los Angeles, CA 90031 | 2012-03-15 |
| 1033482476 | Eloisa Padilla | Social Worker | 2309 Daly St ., Los Angeles, CA 90031 | 2012-02-15 |
| 1851601975 | Edmond Hwan Kim | Acupuncturist | 330 W. Avenue 26, #328, Los Angeles, CA 90031 | 2010-10-08 |
| 1629209382 | Dante Almendral Md, A Medical Corporation | Ophthalmology | 2425 North Broadway St., Los Angeles, CA 90031 | 2009-07-29 |
| 1003044090 | Sindy K. Ramos | Counselor | 1721 Griffin Ave., Los Angeles, CA 90031 | 2009-06-29 |
| Find all providers in zip 90031 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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| 1679118475 | Heavenly Adhc, Inc. | Clinic/Center | 4777 Santa Monica Blvd, Los Angeles, CA 90029-2631 | 2019-11-15 |
| 1760026298 | Bliss Health Care Services, Inc. | Clinic/Center | 1501 W Washington Blvd, Los Angeles, CA 90007-1258 | 2019-10-28 |
| 1912555202 | Sun Bay Koreatown, LLC | Clinic/Center | 3060 W Olympic Blvd # 120, Los Angeles, CA 90006-3832 | 2019-08-29 |
| 1558921601 | Crenshaw Community Center LLC | Clinic/Center | 1060 Crenshaw Blvd, Los Angeles, CA 90019-1900 | 2019-06-19 |
| 1760042915 | Koreatown Senior Center LLC | Clinic/Center | 3400 W Olympic Blvd, Los Angeles, CA 90019-2122 | 2019-06-19 |
| 1306308499 | Lily Adult Day Health Care Center | Clinic/Center | 610 S Kingsley Dr, Los Angeles, CA 90005-2318 | 2019-04-05 |
| 1184102287 | Koreatown Community Based Services, Inc. | Clinic/Center | 2140 W Olympic Blvd Ste 100, Los Angeles, CA 90006-2250 | 2018-07-31 |
| 1962918334 | Brown and Pipkins Corporation | Clinic/Center | 10924 S Vermont Ave, Los Angeles, CA 90044-3016 | 2017-12-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90031 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.