SAN FERNANDO COMMUNITY HOSPITAL (NPI# 1013061597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013061597 |
| Entity Type | Organization |
| Organization Name | SAN FERNANDO COMMUNITY HOSPITAL |
| Other Organization Name | MISSION COMMUNITY HOSPITAL |
| Practice Address |
14850 Roscoe Blvd Panorama City CA 91402-4618 |
| Practice Telephone | 8187872222 |
| Practice Fax Number | 8189043609 |
| Mailing Telephone | 8187872222 |
| Mailing Fax Number | 8189043609 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN HOLDER (CFO) |
| Authorized Official Telephone | 8189043624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | CA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSP40704F | 05 | |
| CA | HSC30704F | 05 | |
| CA | HSM30704F | 05 |
| Other Name | Type Code |
|---|---|
| Mission Community Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245669555 | San Fernando Community Hospital | Family Medicine | 732 Mott St, Suite 100, San Fernando, CA 91340-4237 | 2013-11-06 |
| Street Address |
14850 ROSCOE BLVD |
| City | PANORAMA CITY |
| State | CA |
| Zip Code | 91402-4618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257845 | Alvin R Mahoney | Psychiatry & Neurology | 14850 Roscoe Blvd, Panorama City, CA 91402-4618 | 2005-06-30 |
| 1477197903 | Casey Caccam | Registered Nurse | 14850 Roscoe Blvd, Panorama City, CA 91402-4618 | 2019-10-28 |
| 1538710678 | Christina Michelle Anderson | Registered Nurse | 14850 Roscoe Blvd, Panorama City, CA 91402-4618 | 2019-09-20 |
| 1730677717 | Amanda Lynne Coffey | Registered Nurse | 14850 Roscoe Blvd, Panorama City, CA 91402-4618 | 2018-04-25 |
| 1932559770 | Homa Halimi | Marriage & Family Therapist | 14850 Roscoe Blvd, 200, Panorama City, CA 91402-4618 | 2016-06-13 |
| 1952758716 | Mission Community Hospital | Psychiatric Unit | 14850 Roscoe Blvd, Panorama City, CA 91402-4618 | 2016-05-20 |
| 1275995979 | Iihae Shin | Marriage & Family Therapist | 14850 Roscoe Blvd, Suite 304, Panorama City, CA 91402-4618 | 2016-03-22 |
| 1396159778 | Mmi Medical Group, Inc. | Non-Pharmacy Dispensing Site | 14850 Roscoe Blvd, North Tower, Panorama City, CA 91402-4618 | 2014-06-13 |
| 1609204007 | April Dombrowski | Registered Nurse | 14850 Roscoe Blvd, Panorama City, CA 91402-4618 | 2013-10-22 |
| 1437586146 | Michael John Goulet | Registered Nurse | 14850 Roscoe Blvd, Panorama City, CA 91402-4618 | 2013-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457900979 | Natalie Levine | Physician Assistant | 9140 Van Nuys Blvd Ste 207, Panorama City, CA 91402 | 2019-09-06 |
| 1609423912 | Jannet De La Torre | Student in an Organized Health Care Education/Training Program | 8018 Broadleaf Ave., Panorama City, CA 91402 | 2019-08-21 |
| 1659838258 | Carlota Andon | Psychologist | 14907 Willard St., Panorama City, CA 91402 | 2019-03-01 |
| 1477037471 | Lisa Diaz | Respiratory Therapist, Registered | 13651 Cantara St, Panorama City, CA 91402 | 2018-09-17 |
| 1124500665 | Luis Valentine Ascencio Jr. | Respiratory Therapist, Certified | Southern Calif. Kaiser Permanente Hospital, 8110 Woodman Ave Building 5, Panorama City, CA 91402 | 2018-08-31 |
| 1669951562 | Floyd Bailey | Respiratory Therapist, Registered | 8110 Woodman Ave Bldg 5, Panorama City, CA 91402 | 2018-08-10 |
| 1265910285 | St. Rita's Congregate, Inc. | Nursing Facility/Intermediate Care Facility | 7818 Allott Ave, Van Nuys, CA 91402 | 2018-08-01 |
| 1255834370 | Bishoy Saad | Student in an Organized Health Care Education/Training Program | 8435 Minuet Pl, Panorama City, CA 91402 | 2018-03-15 |
| 1376080309 | International Pre-diabetes Center Inc | Registered Nurse | 14500 Roscoe Blvd., 4th Floor, 4th Floor, Panorama City, CA 91402 | 2017-01-29 |
| 1023489176 | Jane Ryang | Pharmacist | 13652 Cantara Street, Mo4 Room 105, Panorama City, CA 91402 | 2015-10-15 |
| Find all providers in zip 91402 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952758716 | Mission Community Hospital | Psychiatric Unit | 14850 Roscoe Blvd, Panorama City, CA 91402-4618 | 2016-05-20 |
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|---|---|---|---|---|
| 1740807643 | Pacific Health Group Inc. | Psychiatric Unit | 9120 Woodman Ave, Arleta, CA 91331-6405 | 2020-06-26 |
| 1720627979 | Ernest Markovich | Psychiatric Unit | 3235 N Hartman St, Orange, CA 92865-1216 | 2020-01-04 |
| 1316416670 | Psychiatric Excellence | Psychiatric Unit | 388 Market St Ste 1300, San Francisco, CA 94111-5316 | 2018-11-16 |
| 1982192514 | Veronica E Martinez | Psychiatric Unit | 9481 Hanford St, Ventura, CA 93004-0704 | 2018-04-30 |
| 1679008817 | Ucla Semel Institute | Psychiatric Unit | 615 6th St, Davis, CA 95616-3807 | 2017-04-25 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1871045385 | Molina Psychological Consultants | Psychiatric Unit | 18 Monrovia, Irvine, CA 92602-0925 | 2016-10-31 |
| 1457808073 | Susan Mora | Psychiatric Unit | 1239 Powell St, Apt 2, San Francisco, CA 94133-4874 | 2016-09-01 |
| 1306204342 | County of Santa Clara | Psychiatric Unit | 820 Enborg Court, San Jose, CA 95128 | 2016-02-05 |
| 1477931673 | Nigthingale Nurses | Psychiatric Unit | 350 N Magnolia St, Woodlake, CA 93286-1320 | 2015-05-08 |
| Find all providers with the same taxonomy | ||||
| City | PANORAMA CITY |
| Zip Code | 91402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.