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MASONIC HOMES OF CALIFORNIA
NPI 1114111317
Community/Behavioral Health in Union City, CA

Active since August 30, 2007CLIA 05D0705553 · Waiver
34400 MISSION BLVD, UNION CITY, CA 94587(510) 471-3434(510) 476-6329 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Masonic Homes Of California NPPES

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

MASONIC HOMES OF CALIFORNIA (NPI 1114111317) is a healthcare organization registered as a community/behavioral health in Union City, California and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kimberly Rich, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1114111317
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMASONIC HOMES OF CALIFORNIA
Location Address34400 MISSION BLVDUnion City, CA 94587-3604
Mailing Address34400 Mission BlvdUnion City, CA 94587-3604 · (510) 471-3434 · Fax (510) 476-6329
Phone(510) 471-3434
Fax(510) 476-6329
Organization SubpartNo
Authorized OfficialKimberly RichExecutive Director · (877) 488-6293
Enumeration DateAugust 30, 2007
Last NPPES UpdateNovember 22, 2019
✔ NPI 1114111317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
34400 MISSION BLVD, Union City, CA 94587
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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 05D0705553

Masonic Home Of California · Union City, CA
Active · expires Aug 31, 2026
CLIA Number05D0705553
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBala Annadurai
Laboratory Phone(510) 471-3434
Laboratory LocationMasonic Home Of California34400 Mission Blvd, Union City, CA 94587
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AGNES CHINGTUEN LO
Specialist
34400 MISSION BLVD
UNION CITY, CA 94587
Alameda County (510) 429-6472
MASONIC HOMES OF CALIFORNIA
Nursing Facility/Intermediate Care Facility
34400 MISSION BLVD
UNION CITY, CA 94587
Alameda County (510) 429-6465
RABIA SHAH
Speech-Language Pathologist
34400 MISSION BLVD
UNION CITY, CA 94587
Alameda County (916) 276-2107
LANI UEMURA
Specialist
34400 MISSION BLVD
UNION CITY, CA 94587
Alameda County (510) 429-6474
SEAN DAVID YARBER COTA
Occupational Therapy Assistant
34400 MISSION BLVD
UNION CITY, CA 94587
Alameda County (478) 213-8087
YVONNE M WONG RPH
Pharmacist
34400 MISSION BLVD
UNION CITY, CA 94587
Alameda County (510) 429-6426
MRS. MARIA VICTORIA GAUDINEZ GAMO PT
Physical Therapist
34400 MISSION BLVD
UNION CITY, CA 94587
Alameda County (510) 429-6474
SUNDARI KARTHIKSUBBIAH
Physical Therapist
34400 MISSION BLVD
UNION CITY, CA 94587
Alameda County (408) 505-7488

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 Masonic Homes Of California's NPI number?

The NPI number for Masonic Homes Of California is 1114111317. It was assigned to this organization in the NPPES registry on August 30, 2007.

Where is Masonic Homes Of California located?

Masonic Homes Of California is located at 34400 Mission Blvd, Union City, CA 94587. The listed phone number is (510) 471-3434.

What is Masonic Homes Of California's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Masonic Homes Of California hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0705553) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Masonic Homes Of California was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.