DEPARTMENT OF STATE HOSPITALS


Address: 11401 Bloomfield Ave, Norwalk, CA 90650-2015
Phone: 5628637011

DEPARTMENT OF STATE HOSPITALS (NPI# 1265406565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265406565
Entity Type Organization
Organization Name DEPARTMENT OF STATE HOSPITALS
Other Organization Name DEPARTMENT OF STATE HOSPITALS - METROPOLITAN
Practice Address 11401 Bloomfield Ave
Norwalk
CA 90650-2015
Mailing Address 1600 9th Street, Room 150
Patient Cost Recovery Section
Sacramento
CA 95814-6414
Practice Telephone 5628637011
Mailing Telephone 9166518811
Mailing Fax Number 9166518908
Enumeration Date 2006-02-14
Last Update Date 2017-09-05
Authorized Official Name GUADALUPE M ALONZO-DIAZ (ADMINISTRATIVE DEPUTY DIRECTOR)
Authorized Official Telephone 9166542655
Is Organization Subpart Y
Parent Organization Name DEPARTMENT OF STATE HOSPITALS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 314000000X Skilled Nursing Facility 170000832 CA Nursing & Custodial Care Facilities
N 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
170000832 CA Suppliers
Y 283Q00000X Psychiatric Hospital 170000832 CA Hospitals

Other Provider/Organization Names

Other Name Type Code
Department of State Hospitals - Metropolitan Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1043249204 Department of State Hospitals Psychologist 3102 E Highland Ave, Patton, CA 92369-7813 2006-07-01
1124078704 Department of State Hospitals General Acute Care Hospital 24511 W Jayne Ave, Coalinga, CA 93210-9503 2006-05-12
1174573802 Department of State Hospitals General Acute Care Hospital 10333 El Camino Real, Atascadero, CA 93422-5808 2006-05-11
1326098161 Department of State Hospitals General Acute Care Hospital 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 2006-05-11

Office Location

Street Address 11401 BLOOMFIELD AVE
City NORWALK
State CA
Zip Code 90650-2015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477160257 Sheila Malit Garlitos Counselor 11401 Bloomfield Ave, Norwalk, CA 90650-2015 2020-09-25
1073138368 Kiera Himsl Psychologist 11401 Bloomfield Ave, Norwalk, CA 90650-2015 2020-06-11
1467912915 Sharonda L Quezada Psychologist 11401 Bloomfield Ave, Norwalk, CA 90650-2015 2019-03-21
1518487958 Rashed Rumi Psychiatry & Neurology 11401 Bloomfield Ave, Norwalk, CA 90650-2015 2017-06-27
1679003859 Yuwei Hsieh Pharmacist 11401 Bloomfield Ave, Norwalk, CA 90650-2015 2017-06-19
1457880874 Lan Nhu Ngoc Truong Pharmacist 11401 Bloomfield Ave, Norwalk, CA 90650 2017-06-08
1972032456 Janice Chan Pharmacist 11401 Bloomfield Ave, Norwalk, CA 90650-2015 2017-06-08
1346778701 Richard S. Plon Pharmacist 11401 Bloomfield Ave, Norwalk, CA 90650-2015 2017-05-30
1386172823 Michelle Doan Trang Tran Pharmacist 11401 Bloomfield Ave, Norwalk, CA 90650-2015 2017-05-29
1245768779 Dinh Dinh Cung Pharmacist 11401 Bloomfield Ave, Norwalk, CA 90650-2015 2017-05-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003420316 Ricky Chavez Occupational Therapist 13603 Halcourt Avenue, Norwalk, CA 90650 2020-09-03
1326671652 Ryan Ly Psychologist 11400 Bloomfield Blvd, Norwalk, CA 90650 2020-02-14
1710416177 Ricky O Lee Pharmacist 11401 S. Bloomfield Ave, Norwalk, CA 90650 2017-06-08
1689108847 Eliana Segura Student in an Organized Health Care Education/Training Program 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 2017-04-14
1396282752 Martin Sanchez Torres Specialist/Technologist, Other 14003 Summer Ave, Norwalk, CA 90650 2017-01-24
1952859837 Fatimah Busran Social Worker 11401 South Bloomfield Avde., Norwalk, CA 90650 2016-09-20
1760939383 Andy Chang Licensed Psychiatric Technician 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 2016-09-01
1548634322 Leslie Yesenia Lazo Student in an Organized Health Care Education/Training Program 12440 E. Firestone Blvd, Norwalk, CA 90650 2015-11-17
1306247994 Ruth Vergara Student in an Organized Health Care Education/Training Program 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 2014-09-15
1265854251 Sungmin Yee Acupuncturist 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 2014-01-10
Find all providers in zip 90650

Taxonomy Information

Taxonomy Code 283Q00000X
Grouping Hospitals
Classification Psychiatric Hospital

Taxonomy Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700241346 Metropolitan State Hospital Psychiatric Hospital 11401 Bloomfield Ave, Norwalk, CA 90650-2015 2015-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740892017 Avamed Inc. Psychiatric Hospital 12955 Riverside Dr Apt 204, Sherman Oaks, CA 91423-2202 2020-08-18
1437769957 North Valley Behavioral Health, LLC Psychiatric Hospital 1253 Stabler Lane, Yuba City, CA 95993 2020-08-10
1811549504 Sacramento Behavioral Healthcare Hospital, LLC Psychiatric Hospital 1400 Expo Pkwy, Sacramento, CA 95815-4230 2019-07-12
1932603990 Central Star Behavioral Health, Inc. Psychiatric Hospital 496 South Barton Ave, Fresno, CA 93750-0001 2018-03-22
1639601933 Restpadd Health Corp Psychiatric Hospital 925 Walnut St, Red Bluff, CA 96080-3707 2017-03-28
1790223790 Adrian Zamora Psychiatric Hospital 1569 Michael Place, Porterville, CA 93257 2017-02-09
1558812404 Sonnia A. Ahinasi Psychiatric Hospital 4192 Via Napoli, Montclair, CA 91763-4750 2016-10-16
1316399660 Itzel Lopez Psychiatric Hospital 1869 Lombard St, San Francisco, CA 94123-2909 2016-07-11
1770931032 Ruby Lorraine Summus Psychiatric Hospital 4111 Jonathon St, Oceanside, CA 92056-4217 2016-05-27
1760841126 County of Los Angeles Psychiatric Hospital 5800 South St Apt 163, Lakewood, CA 90713-1331 2016-02-15
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Competitor

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City NORWALK
Zip Code 90650

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Dataset Information

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.

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