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ST. ANTHONY'S ADHC, INC.
NPI 1013571710
Clinic/Center - Adult Day Care in Pacoima, CA

Active since April 28, 2019CLIA 05D2178586 · Waiver
13765 VAN NUYS BLVD, PACOIMA, CA 91331(818) 512-7340 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2022, Apr 28, 2019 (2 updates tracked since 2019).

About St. Anthony's Adhc, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. ANTHONY'S ADHC, INC. (NPI 1013571710) is a healthcare organization registered as an adult day care in Pacoima, California and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Inga Pambukyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013571710
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameST. ANTHONY'S ADHC, INC.
Location Address13765 VAN NUYS BLVDPacoima, CA 91331-3621
Mailing Address13765 Van Nuys BlvdPacoima, CA 91331-3621
Phone(818) 512-7340
Organization SubpartNo
Authorized OfficialInga PambukyanCeo · (818) 686-2127
Enumeration DateApril 28, 2019
Last NPPES UpdateApril 19, 20222 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1013571710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
13765 VAN NUYS BLVD, Pacoima, CA 91331
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2178586

St Anthony's Adhc · Pacoima, CA
Active · expires Feb 4, 2028
CLIA Number05D2178586
Laboratory TypeAdult Day Health Care
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorMarvel M. Mazmanyan MD
Laboratory Phone(818) 686-6733
Laboratory LocationSt Anthony's Adhc13765 Van Nuys Blvd, Pacoima, CA 91331
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Anthony's Adhc, Inc.'s NPI number?

The NPI number for St. Anthony's Adhc, Inc. is 1013571710. It was assigned to this organization in the NPPES registry on April 28, 2019.

Where is St. Anthony's Adhc, Inc. located?

St. Anthony's Adhc, Inc. is located at 13765 Van Nuys Blvd, Pacoima, CA 91331. The listed phone number is (818) 512-7340.

What is St. Anthony's Adhc, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does St. Anthony's Adhc, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2178586) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Anthony's Adhc, Inc. was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.