PRIME HEALTHCARE PARADISE VALLEY (NPI# 1285064907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285064907 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE PARADISE VALLEY |
| Other Organization Name | PARADISE VALLEY HOSPITAL |
| Practice Address |
2400 E 4th St National City CA 91950-2026 |
| Mailing Address |
3300 E Guasti Rd 3rd Floor Ontario CA 91761-8655 |
| Practice Telephone | 6194704321 |
| Practice Fax Number | 6194704103 |
| Mailing Telephone | 9092354400 |
| Mailing Fax Number | 9092354419 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2014-07-29 |
| Authorized Official Name | PREM REDDY (CHAIRMAN/PRES/CEO) |
| Authorized Official Telephone | 9092354400 |
| Authorized Official Credential | MD, FACC, FCCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 090000086 | CA | Hospital Units |
| Other Name | Type Code |
|---|---|
| Paradise Valley Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972679694 | Prime Healthcare Paradise Valley | Rehabilitation Unit | 2400 E 4th St, National City, CA 91950-2026 | 2006-11-27 |
| 1356410351 | Prime Healthcare Paradise Valley | General Acute Care Hospital | 2400 E 4th St, National City, CA 91950-2026 | 2006-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRIME HEALTHCARE PARADISE VALLEY, LLC | 2400 E 4th St, National City, CA 91950-2026 |
| Street Address |
2400 E 4TH ST |
| City | NATIONAL CITY |
| State | CA |
| Zip Code | 91950-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598756710 | Paradise Valley Hospital | General Acute Care Hospital | 2400 E 4th St, National City, CA 91950-2026 | 2005-11-04 |
| 1992294490 | Mary Jane Diaz Vicente | Registered Nurse | 2400 E 4th St, National City, CA 91950-2026 | 2018-05-09 |
| 1982079448 | Monali Patel Md Inc | Psychiatry & Neurology | 2400 E 4th St, National City, CA 91950-2026 | 2015-12-09 |
| 1144603358 | Nima Jalali | Emergency Medicine | 2400 E 4th St, National City, CA 91950-2026 | 2015-07-07 |
| 1780066076 | Pacific Paradise Emergency Physicians Medical Group Inc | Emergency Medicine | 2400 E 4th St, National City, CA 91950-2026 | 2015-06-23 |
| 1962895854 | Kaushal Jitendra Mehta | Nurse Practitioner | 2400 E 4th St, National City, CA 91950-2026 | 2015-03-16 |
| 1568864346 | Advantage Ambulance Inc | Ambulance | 2400 E 4th St, National City, CA 91950-2026 | 2014-09-23 |
| 1275947020 | Dr. J. D. Beckes, Inc. | Internal Medicine | 2400 E 4th St, National City, CA 91950-2026 | 2014-06-19 |
| 1780006486 | Yvette St Martin | Nurse Practitioner | 2400 E 4th St, National City, CA 91950 | 2014-01-14 |
| 1285971028 | Gerard C. Arcilla Md, Inc. | Physical Medicine & Rehabilitation | 2400 E 4th St, National City, CA 91950-2026 | 2013-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082350 | Good Samaritan Home Health Care, Inc. | Home Health | 3403 E Plaza Blvd., Unit K, National City, CA 91950 | 2020-08-06 |
| 1316439631 | Progressive Sleep Center A Medical Corporation | Family Medicine | 502 Euclid Ave Ste 302, National City, CA 91950 | 2018-06-01 |
| 1275997074 | Dr Joshua Sameer Pal, Md Corporation | Pain Medicine | 3142 E. Plaza Blvd., Suite T, National City, CA 91950 | 2016-04-07 |
| 1780046672 | Carmen Velazquez Md Inc | Internal Medicine | 2575 East Eight Street, National City, CA 91950 | 2016-03-22 |
| 1598126856 | Valderene Da Paixao Passos Waian | Counselor | 2414 Hoover Avenue, San Diego, CA 91950 | 2016-03-15 |
| 1215247879 | Paulina G Quintana M D Inc | Pathology | 2400 E 4th Street, National City, CA 91950 | 2010-10-18 |
| 1679807069 | Renato David Reyes | Dentist | 1625 Sweetwater Road, Suite G1, National City, CA 91950 | 2009-10-01 |
| 1376774349 | Antioquia Dental Care, Inc. | Dentist | 1727 Sweetwater Road, Suite Q, National City, CA 91950 | 2009-08-07 |
| 1336378371 | James T Kim | Internal Medicine | 502 Euclid Ave Ste 104, National City, CA 91950 | 2009-07-13 |
| 1477700730 | Eusebio Dental Corporation | Dentist | 1127 Highland Avenue, National City, CA 91950 | 2008-08-19 |
| Find all providers in zip 91950 | ||||
| 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 |
|---|---|---|---|---|
| 1144402819 | Prime Healthcare Paradise Valley LLC | Psychiatric Unit | 2400 E 4th St, National City, CA 91950-2026 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | NATIONAL CITY |
| Zip Code | 91950 |
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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.