Details | Nature of Support: Support Received To Date | Update | Change Request | 6/30/2025 12:00:00 AM | 12/31/2025 12:00:00 AM | 6/24/2025 7:28 PM |
Details | Nature of Support: In Kind Support Description | Update | Change Request | In-kind chlamydia and gonorrhea patient delivered partner treatment until 5/31/25. Direct funding 6/1/25-6/30/25. | In-kind chlamydia and gonorrhea patient delivered partner treatment until 5/31/25. Direct funding 6/1/25-12/31/25. | 6/24/2025 7:28 PM |
Details | Nature of Support: Support Received To Date | Update | Change Request | 6/30/2025 12:00:00 AM | 12/31/2025 12:00:00 AM | 6/24/2025 7:28 PM |
Details | Nature of Support: In Kind Support Description | Insert | Change Request | | | 6/3/2025 6:17 AM |
Details | Nature Of Support | Insert | Change Request | | Direct Funding (dollars received from CDC or an intermediate organization) | 6/3/2025 6:17 AM |
Details | Nature of Support: Support Received From Date | Insert | Change Request | | 1/1/2019 12:00:00 AM | 6/3/2025 6:17 AM |
Details | Nature of Support: Support Received To Date | Insert | Change Request | | 6/30/2025 12:00:00 AM | 6/3/2025 6:17 AM |
Details | Nature of Support: In Kind Support Description | Update | Change Request | Expedited chlamydia and gonorrhea patient delivered partner treatment | In-kind chlamydia and gonorrhea patient delivered partner treatment until 5/31/25. Direct funding 6/1/25-6/30/25. | 6/3/2025 6:17 AM |
Details | Nature of Support: Support Received To Date | Update | Change Request | 12/31/2025 12:00:00 AM | 6/30/2025 12:00:00 AM | 6/3/2025 6:17 AM |
Details | Grant Number | Update | Change Request | NH25PS005130-05 | NH25PS005130 | 6/3/2025 6:17 AM |
Details | Last Recertification Date | Update | Recertification | 5/17/2024 2:14:05 PM | 5/6/2025 6:31:47 PM | 5/6/2025 6:31 PM |
Addresses | Billing Address | Update | Change Request | Planned Parenthood Pasadena and San Gabriel Valley, Inc.
2333 N. Lake Ave.
2nd Floor
Altadena, CA 91001 | Planned Parenthood Pasadena and San Gabriel Valley, Inc.
620 N Lake Avenue
Pasadena, CA 91101 | 3/12/2025 7:35 PM |
Details | Nature of Support: Support Received To Date | Update | Change Request | 12/31/2024 12:00:00 AM | 12/31/2025 12:00:00 AM | 12/5/2024 1:35 PM |
Details | Nature of Support: In Kind Support Description | Update | Recertification | Donated condoms and expedited patient delivered partner treatment | Expedited chlamydia and gonorrhea patient delivered partner treatment | 5/17/2024 2:14 PM |
Details | Last Recertification Date | Update | Recertification | 5/10/2023 12:48:14 PM | 5/17/2024 2:14:05 PM | 5/17/2024 2:14 PM |
Details | Nature of Support: Support Received To Date | Update | Change Request | 12/31/2023 12:00:00 AM | 12/31/2024 12:00:00 AM | 2/6/2024 1:22 PM |
Contacts | Authorizing Official | Update | AO Change Request | Pogue, Cheri
VP of Patient Services
Planned Parenthood Pasadena and San Gabriel Valley
6267945737-168 | Lin, Grace Chia
COO
Planned Parenthood Pasadena and San Gabriel Valley
6267945737 | 5/25/2023 6:43 AM |
Details | Grant Number | Update | Change Request | 5NH25PS0051300300 | NH25PS005130-05 | 5/10/2023 12:49 PM |
Details | Last Recertification Date | Update | Recertification | 5/18/2022 12:31:29 PM | 5/10/2023 12:48:14 PM | 5/10/2023 12:48 PM |
Contacts | Primary Contact | Update | Change Request | Garcia, Emylze
Patient Services Project Specialist
Planned Parenthood Pasadena and San Gabriel Valley, Inc.
6267945737-151 | Parker, Tanya
Director of Compliance, Security and Strategic Projects
Planned Parenthood Pasadena and San Gabriel Valley
6267945737-130 | 8/24/2022 6:36 AM |
Details | Grant Number | Update | Change Request | 6NH25PS005130 | 5NH25PS0051300300 | 5/24/2022 7:45 AM |
Details | Last Recertification Date | Update | Recertification | 5/12/2021 4:01:13 PM | 5/18/2022 12:31:29 PM | 5/18/2022 12:31 PM |
Medicaid Billing | Medicaid: Is Primary | Insert | Recertification | | False | 5/12/2021 4:01 PM |
Medicaid Billing | Medicaid: Number | Insert | Recertification | | 1497094114 | 5/12/2021 4:01 PM |
Medicaid Billing | Medicaid: State | Insert | Recertification | | CA | 5/12/2021 4:01 PM |
Details | Nature of Support: In Kind Support Description | Update | Recertification | | Donated condoms and expedited patient delivered partner treatment | 5/12/2021 4:01 PM |
Details | Nature of Support: Support Received From Date | Update | Recertification | | 1/1/2019 12:00:00 AM | 5/12/2021 4:01 PM |
Details | Nature of Support: Support Received To Date | Update | Recertification | | 12/31/2023 12:00:00 AM | 5/12/2021 4:01 PM |
Medicaid Billing | NPI: State | Update | Recertification | | CA | 5/12/2021 4:01 PM |
Details | Last Recertification Date | Update | Recertification | 5/6/2020 3:11:46 PM | 5/12/2021 4:01:13 PM | 5/12/2021 4:01 PM |
Details | Grant Number | Update | Recertification | NH25PS005130 | 6NH25PS005130 | 5/12/2021 4:01 PM |
Details | NOFO Number | Update | Recertification | | PS19-1901 | 5/12/2021 4:01 PM |
Details | Last Recertification Date | Update | Recertification | 5/13/2019 7:26:58 PM | 5/6/2020 3:11:46 PM | 5/6/2020 3:11 PM |
Details | Grant Number | Update | Recertification | 6 NH25PS004325-04-02 | NH25PS005130 | 5/6/2020 3:11 PM |
Contacts | Primary Contact | Update | Change Request | Parker, Tanya
Director of Center Operations
Planned Parenthood Pasadena and San Gabriel Valley
6267945737-104 | Garcia, Emylze
Patient Services Project Specialist
Planned Parenthood Pasadena and San Gabriel Valley, Inc.
6267945737-151 | 4/3/2020 2:48 PM |
Details | Last Recertification Date | Update | Recertification | 4/27/2018 3:33:37 PM | 5/13/2019 7:26:58 PM | 5/13/2019 7:26 PM |
Details | Grant Number | Update | Change Request | 1H25PS004317 | 6 NH25PS004325-04-02 | 12/13/2018 3:19 PM |
Details | Last Recertification Date | Update | Recertification | 5/10/2017 12:00:00 AM | 4/27/2018 3:33:37 PM | 4/27/2018 3:33 PM |
Contacts | Authorizing Official | Update | Profile Change Request | Pogue, Cheri
Senior Director of Patient Services
Planned Parenthood Pasadena and San Gabriel Valley
6267945737-168 | Pogue, Cheri
VP of Patient Services
Planned Parenthood Pasadena and San Gabriel Valley
6267945737-168 | 4/27/2018 3:30 PM |
Contacts | Signed By | Update | Profile Change Request | Pogue, Cheri
Senior Director of Patient Services
Planned Parenthood Pasadena and San Gabriel Valley
6267945737-168 | Pogue, Cheri
VP of Patient Services
Planned Parenthood Pasadena and San Gabriel Valley
6267945737-168 | 4/27/2018 3:30 PM |
Contacts | Authorizing Official | Update | | Pogue, Cheri
Senior Director of Patient Services
6267945737-168 | Pogue, Cheri
Senior Director of Patient Services
Planned Parenthood Pasadena and San Gabriel Valley
6267945737-168 | 10/5/2017 1:14 PM |
Contacts | Signed By | Update | | Pogue, Cheri
Senior Director of Patient Services
6267945737-168 | Pogue, Cheri
Senior Director of Patient Services
Planned Parenthood Pasadena and San Gabriel Valley
6267945737-168 | 10/5/2017 1:14 PM |
Contacts | Primary Contact | Update | | Parker, Tanya
Director of Center Operations
6267945737-104 | Parker, Tanya
Director of Center Operations
Planned Parenthood Pasadena and San Gabriel Valley
6267945737-104 | 9/29/2017 2:20 PM |
Contacts | Primary Contact | Insert | | | Parker, Tanya
Director of Center Operations
6267945737-104 | 5/10/2017 6:38 PM |
Contacts | Authorizing Official | Insert | | | Pogue, Cheri
Senior Director of Patient Services
6267945737-168 | 5/10/2017 6:38 PM |
Contacts | Signed By | Insert | | | Pogue, Cheri
Senior Director of Patient Services
6267945737-168 | 5/10/2017 6:38 PM |
Addresses | Main Address | Insert | | |
130 W. Route 66
Suite 100
Glendora, CA 91740 | 5/10/2017 6:34 PM |
Addresses | Billing Address | Insert | | | Planned Parenthood Pasadena and San Gabriel Valley, Inc.
2333 N. Lake Ave.
2nd Floor
Altadena, CA 91001 | 5/10/2017 6:34 PM |
Details | Last Recertification Date | Update | | | 5/10/2017 12:00:00 AM | 5/10/2017 6:33 PM |
Dates | Participating Approval Date | Update | | | 4/29/2016 12:00:00 AM | 4/29/2016 9:50 AM |
Details | State | Update | | Pending | Active | 4/29/2016 9:50 AM |
Dates | Start Date | Update | | | 7/1/2016 12:00:00 AM | 4/29/2016 9:50 AM |
Details | Grant Number | Update | | | 1H25PS004317 | 4/29/2016 8:47 AM |
Details | 340B ID | Update | | ONLINE_REG_59322 | STD91740 | 4/29/2016 8:47 AM |
Details | 340B ID | Update | | ONLINE_REG | ONLINE_REG_59322 | 4/7/2016 6:04 PM |
Details | Nature Of Support | Insert | | | In-Kind products or services (see note below; must have been purchased with section 318 funds) | 4/7/2016 6:04 PM |
Medicaid Billing | NPI: Number | Insert | | | 1497094114 | 4/7/2016 6:04 PM |
Details | Last Recertification Date | Insert | | | | 4/7/2016 6:04 PM |
Details | Grant Number | Insert | | | | 4/7/2016 6:04 PM |
Details | 340B ID | Insert | | | ONLINE_REG | 4/7/2016 6:04 PM |
Details | Is Authorizing Official EHB Data | Insert | | | | 4/7/2016 6:04 PM |
Dates | Last Date That 340B Drugs Purchased | Insert | | | | 4/7/2016 6:04 PM |
Details | Medicare Provider Number | Insert | | | | 4/7/2016 6:04 PM |
Details | Entity Name | Insert | | | Planned Parenthood Pasadena and San Gabriel Valley, Inc. | 4/7/2016 6:04 PM |
Details | Program Code | Insert | | | STD | 4/7/2016 6:04 PM |
Details | Entity Subname | Insert | | | Glendora Health Center | 4/7/2016 6:04 PM |
Dates | Participating Approval Date | Insert | | | | 4/7/2016 6:04 PM |
Details | State | Insert | | | Pending | 4/7/2016 6:04 PM |
Dates | Registration Date | Insert | | | 4/7/2016 12:00:00 AM | 4/7/2016 6:04 PM |
Dates | Signed By Date | Insert | | | 4/7/2016 12:00:00 AM | 4/7/2016 6:04 PM |
Dates | Start Date | Insert | | | | 4/7/2016 6:04 PM |
Terminations | Termination Comments | Insert | | | | 4/7/2016 6:04 PM |
Terminations | Termination Date | Insert | | | | 4/7/2016 6:04 PM |
Terminations | Termination Effective Date | Insert | | | | 4/7/2016 6:04 PM |
Terminations | Termination Reason | Insert | | | | 4/7/2016 6:04 PM |