PRESBYTERIAN INTERCOMMUNITY HOSPITAL, INC. (NPI# 1235372459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235372459 |
Entity Type | Organization |
Organization Name | PRESBYTERIAN INTERCOMMUNITY HOSPITAL, INC. |
Other Organization Name | THE INTERCOMMUNITY CARDIOVASCULAR TESTING CENTER AN AFFILIATE OF PIH |
Practice Address |
12462 Putnam Street Whittier CA 90602 |
Mailing Address |
12401 Washington Blvd Whittier CA 90602-1006 |
Practice Telephone | 5626980811 |
Practice Fax Number | 5626986238 |
Mailing Telephone | 5626980811 |
Mailing Fax Number | 5626986238 |
Enumeration Date | 2009-04-17 |
Last Update Date | 2009-04-17 |
Authorized Official Name | JAMES WEST (PRESIDENT AND CEO) |
Authorized Official Telephone | 5626980811 |
Is Organization Subpart | Y |
Parent Organization Name | PRESBYTERIAN INTERCOMMUNITY HOSPITAL, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | ZZT40169F | 05 | |
CA | HSC30169F | 05 |
Other Name | Type Code |
---|---|
The Intercommunity Cardiovascular Testing Center an Affiliate of PIH | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881837060 | Presbyterian Intercommunity Hospital, Inc. | Clinic/Center | 12455 Washington Blvd, Whittier, CA 90602-1006 | 2009-04-17 |
1790928984 | Presbyterian Intercommunity Hospital, Inc. | Clinic/Center | 12675 La Mirada Blvd, La Mirada, CA 90638-2200 | 2009-04-17 |
1083664841 | Presbyterian Intercommunity Hospital, Inc. | Family Medicine | 12291 Washington Blvd, 500, Whittier, CA 90606-2500 | 2006-05-11 |
Street Address |
12462 PUTNAM STREET |
City | WHITTIER |
State | CA |
Zip Code | 90602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821224247 | Pih Health Physicians | Obstetrics & Gynecology | 12462 Putnam Street, Whittier, CA 90602-1048 | 2009-06-01 |
1326164237 | Daniel Akvavan,md Inc | Internal Medicine | 12462 Putnam Street, Ste 208, Whittier, CA 90602-1005 | 2007-03-22 |
1689790750 | Kiumars Saketkhoo Md, Inc | Internal Medicine | 12462 Putnam Street, Ste 208, Whittier, CA 90602-1005 | 2007-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346896412 | Alexis Pettway | Specialist/Technologist | 13847 Earlham Drive, Whittier, CA 90602 | 2019-08-14 |
1053898486 | Bridget Joanne Islas | Case Manager/Care Coordinator | 8219 Milton Ave., Apt. D, Whittier, CA 90602 | 2018-07-27 |
1184175606 | Metzie America Moran | Specialist | 8135 Painter Ave Suite 201, Whittier, CA 90602 | 2016-10-19 |
1811348360 | Jasmine Renee Simmons | Speech-Language Pathologist | 8135 Painter Avenue, Suite #200, Whittier, CA 90602 | 2016-06-27 |
1194108084 | Aaronshawn Poolsaad | Optometrist | 8135 Painter Ave Ste 100, Whittier, CA 90602 | 2015-07-09 |
1124409677 | Alliance Orthotics & Prosthetics Inc. | Clinic/Center | 12458 East Washington Blvd, Whittier, CA 90602 | 2015-06-10 |
1205223567 | Maria Ursula Jarrin Lopez | Speech-Language Pathologist | 8135 Painter Avenue, Suite 201, Whittier, CA 90602 | 2015-04-23 |
1932595055 | Sotto Lin Weng | Acupuncturist | 7754 Painter Avenue, Whittier, CA 90602 | 2015-04-15 |
1770978660 | Carolyn Rumpeltes | Physician Assistant | 12462 Putnam St Ste 203, Whittier, CA 90602 | 2015-03-30 |
1609273671 | Anthony Razon | Specialist/Technologist | 8132 Painter Ave Ste 201, Whittier, CA 90602 | 2014-11-19 |
Find all providers in zip 90602 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1184948598 | Santa Maria's Children and Family Center | Clinic/Center | 9209 Colima Rd Ste 4400, Whittier, CA 90605-1823 | 2010-03-15 |
1558541771 | American Indian Healing Center, Inc. | Clinic/Center | 7630 Painter Ave, Whittier, CA 90602-2373 | 2007-11-05 |
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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.