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SAN DIEGO FAMILY CIRCLE ADULT DAY HEALTH CARE
NPI 1396201828
Clinic/Center - Adult Day Care in San Diego, CA

Active since February 20, 2019CLIA 05D2167752 · Waiver
4428 CONVOY ST STE 288, SAN DIEGO, CA 92111(802) 430-7543(856) 724-3302 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2022, Feb 20, 2019 (2 updates tracked since 2019).

About San Diego Family Circle Adult Day Health Care NPPES

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

SAN DIEGO FAMILY CIRCLE ADULT DAY HEALTH CARE (NPI 1396201828) is a healthcare organization registered as an adult day care in San Diego, California and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Gary Polsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1396201828
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameSPECTRUM ADULT DAY HEALTH SERVICES INC
Location Address4428 CONVOY ST STE 288San Diego, CA 92111-3761
Mailing Address5770 Bellevue AveLa Jolla, CA 92037-7303 · (858) 952-8531 · Fax (858) 724-3302
Phone(802) 430-7543
Fax(856) 724-3302
Organization SubpartNo
Authorized OfficialGary PolskyOwner · (858) 952-8531
Enumeration DateFebruary 20, 2019
Last NPPES UpdateNovember 1, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2021
✔ NPI 1396201828 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
4428 CONVOY ST STE 288, San Diego, CA 92111
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Other Names 1

Doing Business AsSan Diego Family Circle Adult Day Health Care

Other Identifiers 1

Medicaid1396201828CA

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 05D2167752

San Diego Family Adult Day Care Health Care · San Diego, CA
Active · expires Jun 12, 2027
CLIA Number05D2167752
Laboratory TypeAdult Day Hlth Care
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorHoy Ho
Laboratory Phone(858) 244-4555
Laboratory LocationSan Diego Family Adult Day Care Health Care4428 Convoy Street Suite 288, San Diego, CA 92111
CLIA data matches this NPI record on: Address
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 Spectrum Adult Day Health Services Inc's NPI number?

The NPI number for Spectrum Adult Day Health Services Inc is 1396201828. It was assigned to this organization in the NPPES registry on February 20, 2019. The provider is doing business as San Diego Family Circle Adult Day Health Care.

Where is Spectrum Adult Day Health Services Inc located?

Spectrum Adult Day Health Services Inc is located at 4428 Convoy St Ste 288, San Diego, CA 92111. The listed phone number is (802) 430-7543.

What is Spectrum Adult Day Health Services Inc's specialty?

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

Does Spectrum Adult Day Health Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2167752) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spectrum Adult Day Health Services Inc was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.