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SAN GABRIEL SENIOR LIVING, INC.
NPI 1730787813
Assisted Living Facility in Rosemead, CA

Active since October 12, 2020CLIA Certified · 2 labs
8417 MISSION DR, ROSEMEAD, CA 91770(626) 287-0438(626) 287-3361 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About San Gabriel Senior Living, Inc. NPPES

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

SAN GABRIEL SENIOR LIVING, INC. (NPI 1730787813), doing business as California Mission Inn, is a healthcare organization registered as an assisted living facility in Rosemead, California and active in the NPI registry since October 2020. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Rosemead, and lists Lee Johnson, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1730787813
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSAN GABRIEL SENIOR LIVING, INC.
Location Address8417 MISSION DRRosemead, CA 91770-1188
Mailing Address8417 Mission DrRosemead, CA 91770-1188 · (626) 287-0438 · Fax (626) 287-3361
Phone(626) 287-0438
Fax(626) 287-3361
Organization SubpartNo
Authorized OfficialLee JohnsonTreasurer · (208) 401-1369
Enumeration DateOctober 12, 2020
NPPES CertifiedOctober 12, 2020
✔ NPI 1730787813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
8417 MISSION DR, Rosemead, CA 91770
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Other Names 2

Doing Business AsCalifornia Mission Inn
Doing Business AsCalifornia Mission Inn Rose Manor

Secondary Practice Location 1

Location 14825 Earle AveRosemead, CA 91770-1176 · Phone (626) 287-0438

CLIA Laboratory Certificates CMS CLIA 2

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 05D2211399

San Gabriel Senior Living, Inc Dba California Mission Inn · Rosemead, CA
Active · expires Jan 26, 2027
CLIA Number05D2211399
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorShahriar Jarchi
Laboratory Phone(626) 287-0438
Laboratory LocationSan Gabriel Senior Living, Inc Dba California Mission Inn8417 Mission Dr, Rosemead, CA 91770
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2207104

San Gabriel Senior Living, Inc Dba California Mission Inn - Rose Manor · Rosemead, CA
Active · expires Dec 22, 2026
CLIA Number05D2207104
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorRobert Schreiman
Laboratory Phone(626) 287-0438
Laboratory LocationSan Gabriel Senior Living, Inc Dba California Mission Inn - Rose Manor4825 Earle Ave, Rosemead, CA 91770
CLIA data matches this NPI record on: Address 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 San Gabriel Senior Living, Inc.'s NPI number?

The NPI number for San Gabriel Senior Living, Inc. is 1730787813. It was assigned to this organization in the NPPES registry on October 12, 2020. The provider is doing business as California Mission Inn and California Mission Inn Rose Manor.

Where is San Gabriel Senior Living, Inc. located?

San Gabriel Senior Living, Inc. is located at 8417 Mission Dr, Rosemead, CA 91770. The listed phone number is (626) 287-0438.

What is San Gabriel Senior Living, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does San Gabriel Senior Living, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for San Gabriel Senior Living, Inc. was last updated on October 12, 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.