COORDINATED CARE CENTER INC. (NPI# 1881745487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881745487 |
| Entity Type | Organization |
| Organization Name | COORDINATED CARE CENTER INC. |
| Other Organization Name | SAN MARINO MANOR |
| Practice Address |
6812 Oak Ave San Gabriel CA 91775-2030 |
| Practice Telephone | 6264465263 |
| Practice Fax Number | 6264468109 |
| Mailing Telephone | 6264465263 |
| Mailing Fax Number | 6264468109 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEVIN ERWIN CABLAYAN (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6195219641 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 9500092 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT18606G | 05 |
| Other Name | Type Code |
|---|---|
| San Marino Manor | Doing Business As Name - Organization |
| Street Address |
6812 OAK AVE |
| City | SAN GABRIEL |
| State | CA |
| Zip Code | 91775-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095215 | Coordinated Care Center, Inc | Skilled Nursing Facility | 6812 Oak Ave, San Gabriel, CA 91775-2030 | 2005-09-30 |
| 1255991550 | San Gabriel Post Acute LLC | Skilled Nursing Facility | 6812 Oak Ave, San Gabriel, CA 91775-2030 | 2019-06-18 |
| 1750670469 | 3gencare, Inc | Skilled Nursing Facility | 6812 Oak Ave, San Gabriel, CA 91775-2030 | 2011-04-04 |
| 1669692414 | Kimberly Ann Mode | Physical Therapy Assistant | 6812 Oak Ave, San Gabriel, CA 91775-2030 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043451735 | Shannon H. Lazarian | Dentist | 6269 Charonoak Pl, San Gabriel, CA 91775 | 2009-03-10 |
| 1609077635 | Premier Physician Alliance | Health Maintenance Organization | 30125 West Agoura Road #200, Agoura Hills, CA 91775 | 2007-05-29 |
| 1851463178 | Robert S.y. Cheng | Obstetrics & Gynecology | 209 N Delmar Ave, San Gabriel, CA 91775 | 2006-11-14 |
| 1225428394 | Raymond Juarez Jr. | Behavioral Analyst | 9060 Huntington Dr, San Gabriel, CA 91775 | 2015-01-28 |
| 1467085688 | Jessica Kuo | Student in an Organized Health Care Education/Training Program | 6909 Ferncroft Ave, San Gabriel, CA 91775-1001 | 2020-02-17 |
| 1821407370 | Jennifer Chuang | Acupuncturist | 6948 Ferncroft Ave, San Gabriel, CA 91775-1002 | 2014-08-08 |
| 1801999255 | Joseph Y Wu | Internal Medicine | 6714 Provence Road, San Gabriel, CA 91775-1030 | 2006-09-07 |
| 1881849362 | A.l. U.S./san Gabriel Senior Housing, L.p. | Assisted Living Facility | 8332 Huntington Dr, San Gabriel, CA 91775-1038 | 2008-11-25 |
| 1285710806 | Luanne E Cabrera | Psychologist | 8346 Duarte Rd, San Gabriel, CA 91775-1048 | 2006-10-27 |
| 1912119470 | Toni Chen | Dentist | 8204 Huntington Dr, Suite B, San Gabriel, CA 91775-1053 | 2007-05-04 |
| Find all providers in zip 91775 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356616627 | Lifelung, Inc | Skilled Nursing Facility | 1231 S Gladys Ave, San Gabriel, CA 91776-3132 | 2012-03-20 |
| 1194805630 | Sgv Healthcare Inc | Skilled Nursing Facility | 537 W Live Oak St, San Gabriel, CA 91776-1149 | 2006-10-17 |
| 1831125608 | San Gabriel Medical Investors, LLC | Skilled Nursing Facility | 909 W Santa Anita St, San Gabriel, CA 91776-1018 | 2006-06-24 |
| 1689612202 | San Gabriel Medical Investors, LLC | Skilled Nursing Facility | 909 W Santa Anita Ave, San Gabriel, CA 91776-1018 | 2006-06-04 |
| 1922095215 | Coordinated Care Center, Inc | Skilled Nursing Facility | 6812 Oak Ave, San Gabriel, CA 91775-2030 | 2005-09-30 |
| 1477547024 | Ag San Gabriel, LLC | Skilled Nursing Facility | 112 East Broadway, San Gabriel, CA 91776 | 2005-09-08 |
| 1891794939 | Fernview Convalescent Hospital, Inc | Skilled Nursing Facility | 126 N San Gabriel Blvd, San Gabriel, CA 91775-2427 | 2005-07-20 |
| 1639178197 | Alderwood Inc | Skilled Nursing Facility | 115 Bridge St, San Gabriel, CA 91775-2719 | 2005-07-18 |
| 1255991550 | San Gabriel Post Acute LLC | Skilled Nursing Facility | 6812 Oak Ave, San Gabriel, CA 91775-2030 | 2019-06-18 |
| 1770083990 | Royal Vista Care Center LLC | Skilled Nursing Facility | 909 W Santa Anita Ave, San Gabriel, CA 91776-1018 | 2018-02-14 |
| Find all providers in SAN GABRIEL | ||||
| City | SAN GABRIEL |
| Zip Code | 91775 |
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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.