Ag San Gabriel, LLC
NPI 1477547024 · Skilled Nursing Facility · San Gabriel, CA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ag San Gabriel, LLC is a Skilled Nursing Facility organization in San Gabriel, CA (NPI 1477547024).
Provider details
- NPI number
- 1477547024
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Wintner, Manager(323) 651-1808
- License
- 950000016 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Broadway Healthcare Center
Registry dates
- Enumerated
- 2005-09-08
- Last updated
- 2014-07-21
Frequently asked questions
- What is Ag San Gabriel, LLC's NPI number?
- Ag San Gabriel, LLC's National Provider Identifier (NPI) is 1477547024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ag San Gabriel, LLC?
- Ag San Gabriel, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Ag San Gabriel, LLC located?
- Ag San Gabriel, LLC's practice location on file with NPPES is 112 East Broadway, San Gabriel, CA 91776.
- What is Ag San Gabriel, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ag San Gabriel, LLC is (626) 285-2165.
- Does Ag San Gabriel, LLC accept Medicare?
- Ag San Gabriel, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ag San Gabriel, LLC?
- The authorized official listed on Ag San Gabriel, LLC's NPPES record is Jacob Wintner, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ag San Gabriel, LLC's NPI active?
- Yes — Ag San Gabriel, LLC's NPI (1477547024) is active in the NPPES registry as of the last update on 2014-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.