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Ag San Gabriel, LLC

Skilled Nursing Facility in San Gabriel, CA · enumerated 2005 · authorized official Jacob Wintner, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477547024

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Registry record

Entity type Organization (Type 2)
Legal business name Ag San Gabriel, LLC
Other name <Unavail>
Practice address 112 East Broadway, San Gabriel, CA, 91776
Fax (626) 287-4061
Enumeration date Sep 8, 2005
Last updated in NPPES Jul 21, 2014

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 950000016 (CA) Primary

Authorized official

Name Jacob Wintner
Title Manager

Other identifiers

Identifier Type State Issuer
ZZT05592I Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ag San Gabriel, LLC?
The NPI for Ag San Gabriel, LLC is 1477547024, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ag San Gabriel, LLC?
NPPES lists Jacob Wintner (Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-21.