SAN GABRIEL CHILDREN'S CENTER OUTPATIENT
NPI 1326172404
Community/Behavioral Health in Covina, CA

Q: What is San Gabriel Children's Center Inc.'s NPI number?

The NPI number for San Gabriel Children's Center Inc. is 1326172404. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is also known as San Gabriel Children's Center Outpatient.

Q: What is San Gabriel Children's Center Inc.'s specialty?

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

Active since March 14, 2007

4740 N GRAND AVE, COVINA, CA 91724(626) 859-2089(626) 859-6537 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 1, 2024, May 18, 2022, Apr 25, 2022 and 3 more (6 updates tracked since 2016).

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About San Gabriel Children's Center Outpatient NPPES

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

SAN GABRIEL CHILDREN'S CENTER OUTPATIENT (NPI 1326172404) is a healthcare organization registered as a community/behavioral health in Covina, California and active in the NPI registry since March 2007. The organization lists Porfirio Rincon, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1326172404

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSAN GABRIEL CHILDREN'S CENTER INC.

Location Address4740 N GRAND AVECovina, CA 91724-2005

Mailing Address1211 Center Court Dr Ste 105Covina, CA 91724-3613 · (626) 859-2089 · Fax (626) 859-6537

Phone(626) 859-2089

Fax(626) 859-6537

Organization SubpartNo

Authorized OfficialPorfirio RinconPresident/ceo · (626) 859-2089

Enumeration DateMarch 14, 2007

Last NPPES UpdateMay 1, 20246 updates tracked since enumeration

NPPES CertifiedMay 1, 2024

✔ NPI 1326172404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Licenses✔ Licensed in CA · 7563A✔ Licensed in CA · 7563D

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.

Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X · License 197804972 (CA), 197804961 (CA)

4740 N GRAND AVE, Covina, CA 91724

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Other Names 1

Other NameSan Gabriel Children's Center Outpatient

Other Identifiers 1

Medicaid0000056BJCA

Other Providers at the Same Location NPPES 20

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

MARY ELLEN TANNER LCSW

Social Worker (Clinical)