SAN MARINO MANOR
NPI 1750670469
Skilled Nursing Facility in San Gabriel, CA

Active since April 04, 2011CLIA 05D0718384 · Waiver
6812 OAK AVE, SAN GABRIEL, CA 91775(626) 446-5263(626) 446-8109 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Marino Manor NPPES

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

SAN MARINO MANOR (NPI 1750670469) is a healthcare organization registered as a skilled nursing facility in San Gabriel, California and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Cheryl A Petterson, Manager, as its authorized official.

NPPES Registry Identity

NPI1750670469
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name3GENCARE, INC
Location Address6812 OAK AVESan Gabriel, CA 91775-2030
Mailing Address4016 Grand Ave Ste AChino, CA 91710-5491 · (310) 625-2838 · Fax (323) 846-5788
Fax(626) 446-8109
Organization SubpartNo
Authorized OfficialCheryl A PettersonManager · (310) 625-2838
Enumeration DateApril 4, 2011
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
NPI 1750670469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 9500000092
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
6812 OAK AVE, San Gabriel, CA 91775

Other Names 1

Doing Business AsSan Marino Manor

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 05D0718384

Svpa LLC Dba San Marino Manor Healthcare Center · San Gabriel, CA
Active · expires Aug 31, 2026
CLIA Number05D0718384
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJhujhar Singh
Laboratory Phone(626) 446-5263
Laboratory LocationSvpa LLC Dba San Marino Manor Healthcare Center6812 N Oak Avenue, San Gabriel, CA 91775
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Skilled Nursing Facility
6812 OAK AVE
SAN GABRIEL, CA 91775
Physical Therapy Assistant
6812 OAK AVE
SAN GABRIEL, CA 91775
Skilled Nursing Facility
6812 OAK AVE
SAN GABRIEL, CA 91775
Skilled Nursing Facility
6812 OAK AVE
SAN GABRIEL, CA 91775
Skilled Nursing Facility
6812 OAK AVE
SAN GABRIEL, CA 91775

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 3gencare, Inc's NPI number?

The NPI number for 3gencare, Inc is 1750670469. It was assigned to this organization in the NPPES registry on April 4, 2011. The provider is doing business as San Marino Manor.

Where is 3gencare, Inc located?

3gencare, Inc is located at 6812 Oak Ave, San Gabriel, CA 91775. The listed phone number is (626) 446-5263.

What is 3gencare, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does 3gencare, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0718384) 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 3gencare, Inc was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.