GOLDEN STATE CARE CENTER
NPI 1689655045
Intermediate Care Facility, Intellectual Disabilities in Baldwin Park, CA

Q: What is Foothill Care Center, Inc.'s NPI number?

The NPI number for Foothill Care Center, Inc. is 1689655045. It was assigned to this organization in the NPPES registry on November 10, 2005. The provider is doing business as Golden State Care Center.

Q: What is Foothill Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since November 10, 2005CLIA 05D1089939 · Waiver

1758 BIG DALTON AVE, BALDWIN PARK, CA 91706(626) 962-3274(626) 337-2969 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Golden State Care Center NPPES

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

GOLDEN STATE CARE CENTER (NPI 1689655045) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Baldwin Park, California and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Richard A Ruiz, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689655045

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameFOOTHILL CARE CENTER, INC.

Location Address1758 BIG DALTON AVEBaldwin Park, CA 91706-5998

Mailing Address1758 Big Dalton AveBaldwin Park, CA 91706-5998 · (626) 962-3274 · Fax (626) 337-2969

Phone(626) 962-3274

Fax(626) 337-2969

Organization SubpartNo

Authorized OfficialRichard A RuizAdministrator · (626) 962-3274

Enumeration DateNovember 10, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1689655045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

1758 BIG DALTON AVE, Baldwin Park, CA 91706

Open in Google Maps ↗

Other Names 1

Doing Business AsGolden State Care Center

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 05D1089939

Golden State Care Center · Baldwin Park, CA

Active · expires Sep 29, 2026

CLIA Number05D1089939

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateSeptember 30, 2024

Certificate Expiration DateSeptember 29, 2026

Laboratory DirectorSunny W. Wong Do

Laboratory Phone(626) 962-3274

Laboratory LocationGolden State Care Center1758 N Big Dalton Ave, Baldwin Park, CA 91706

CLIA data matches this NPI record on: Name Phone

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 Foothill Care Center, Inc.'s NPI number?

The NPI number for Foothill Care Center, Inc. is 1689655045. It was assigned to this organization in the NPPES registry on November 10, 2005. The provider is doing business as Golden State Care Center.

Where is Foothill Care Center, Inc. located?

Foothill Care Center, Inc. is located at 1758 Big Dalton Ave, Baldwin Park, CA 91706. The listed phone number is (626) 962-3274.

What is Foothill Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Foothill Care Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1089939) is associated with this NPI, valid through September 29, 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 Foothill Care Center, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.