DIGNITY HEALTH (NPI# 1194877332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194877332 |
Entity Type | Organization |
Organization Name | DIGNITY HEALTH |
Other Organization Name | ST. JOHN'S PLEASANT VALLEY HOSPITAL |
Practice Address |
2309 Antonio Ave Camarillo CA 93010-1414 |
Mailing Address |
2415 Antonio Ave Camarillo CA 93010-1459 |
Practice Telephone | 8053895632 |
Practice Fax Number | 8053837450 |
Mailing Telephone | 8053895800 |
Mailing Fax Number | 8053837460 |
Enumeration Date | 2007-01-17 |
Last Update Date | 2013-09-13 |
Authorized Official Name | TIM MAURICE (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 8059882500 |
Is Organization Subpart | Y |
Parent Organization Name | DIGNITY HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 314000000X | Skilled Nursing Facility | 050000048 | CA | Nursing & Custodial Care Facilities |
Y | 282N00000X | General Acute Care Hospital | 050000048 | CA | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | HSP40616I | 05 | |
BLUE SHIELD | ZZZA5606Z | 01 | |
WPS | 870692236930100002 | 01 | |
AETNA | 51406 | 01 | |
HEALTHNET | 870692236B | 01 | |
CA | HSC30616I | 05 | |
CA | HSP30616I | 05 | |
IRS | 870692236 | 01 | |
CA | LTC70024G | 05 | |
WPS | 870692236930100000 | 01 | |
CA | LTC55223G | 05 |
Other Name | Type Code |
---|---|
St. John's Pleasant Valley Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265065445 | Dignity Health | Clinic/Center | 4975 N Dysart Rd Ste 100, Litchfield Park, AZ 85340-3087 | 2020-02-17 |
1609408665 | Dignity Health | Clinic/Center | 17040 N 51st Ave Ste 100, Glendale, AZ 85308-1496 | 2020-02-07 |
1134687734 | Dignity Health | Clinic/Center | 2340 Liberty Pkwy Ste 200, Red Bluff, CA 96080-4350 | 2019-03-04 |
1528560794 | Dignity Health | Community/Behavioral Health | 1211 S Hobart Blvd, Los Angeles, CA 90006-3113 | 2018-03-05 |
1598264053 | Dignity Health | Community/Behavioral Health | 1852 W Imperial Hwy, Los Angeles, CA 90047 | 2018-02-09 |
1073942009 | Dignity Health | Clinic/Center | 1900 Railroad Ave, Redding, CA 96001-1802 | 2013-11-12 |
1992131734 | Dignity Health | General Acute Care Hospital | 7300 N 99th Ave, Glendale, AZ 85305-1400 | 2013-09-25 |
1720358039 | Dignity Health | Neurological Surgery | 800 N Gibson Rd Ste 101, Henderson, NV 89011 | 2012-01-03 |
1922276237 | Dignity Health | Hospice Care, Community Based | 1600 D St, Suite 202, Bakersfield, CA 93301-5329 | 2008-02-20 |
1780807248 | Dignity Health | General Acute Care Hospital | 2102 N California St, Stockton, CA 95204-6031 | 2007-04-11 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DIGNITY HEALTH | 185 Berry St Ste 300, San Francisco, CA 94107-1773 |
New York State Corporations | DIGNITY HEALTH | 99 Washington Ave Suite 1008, Albany, Ny 12260 |
Colorado Business Entities | Dignity Health at Home, LLC | 12745 Utica Circle, Broomfield, CO 80020 |
System for Award Management (SAM) Entities | DIGNITY HEALTH FOUNDATION | 185 Berry Street, Suite 300, San Francisco, CA 94107-1773 |
System for Award Management (SAM) Entities | DIGNITY HEALTH MEDICAL FOUNDATION | 3400 Data Dr, Rancho Cordova, CA 95670-7956 |
Colorado Business Entities | Dignity Health Purchasing Network, LLC | 198 Inverness Drive West, Englewood, CO 80112 |
System for Award Management (SAM) Entities | DIGNITY HEALTHCARE, LLC | 535 N Park St, Uvalde, TX 78801-4363 |
Street Address |
2309 ANTONIO AVE |
City | CAMARILLO |
State | CA |
Zip Code | 93010-1414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679556906 | St.john's Pleasant Valley Hospital | Special Hospital | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2005-11-21 |
1366915431 | Nicole Best | Physical Therapist | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2019-01-10 |
1699289355 | Janice Warrick | Nurse Practitioner | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2017-11-16 |
1396082764 | Deverie Demornay | Social Worker | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2013-01-05 |
1124362330 | Esther Chen Yang | Pharmacist | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2012-11-15 |
1740540285 | Vdah Corp | Clinic/Center | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2012-05-17 |
1477844884 | Cep America - California | Emergency Medicine | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2011-04-20 |
1063662310 | W Michael Green, Md Inc | Pathology | 2309 Antonio Ave, Pathology Department, Camarillo, CA 93010-1414 | 2008-09-23 |
1780843805 | Dignity Health | Clinical Medical Laboratory | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2008-06-04 |
1831364769 | Joanne Feldman,m.d. A Professional Corporation | Emergency Medicine | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2008-04-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
Find all providers in zip 93010 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902917321 | Edgardo A Falcon Md, Inc. | General Acute Care Hospital | 115 Vientos Rd, Camarillo, CA 93010-1602 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
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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.