MORENO VALLEY COMMUNITY HOSPITAL (NPI# 1326135823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326135823 |
| Entity Type | Organization |
| Organization Name | MORENO VALLEY COMMUNITY HOSPITAL |
| Other Organization Name | VALLEY HEALTH SYSTEM |
| Practice Address |
27300 Iris Ave Moreno Valley CA 92555 |
| Mailing Address |
1117 E Devonshire Ave Hemet CA 92543 |
| Practice Telephone | 9516522811 |
| Mailing Telephone | 9516522811 |
| Mailing Fax Number | 9519256323 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL M GARKO (CFO INTERIM CEO) |
| Authorized Official Telephone | 9517666472 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSP40694F | 05 | |
| CA | BLUE SHIELD | ZZZC3305Z | 01 |
| CA | HSM30694F | 05 | |
| CA | HSC30694F | 05 |
| Other Name | Type Code |
|---|---|
| Valley Health System | Doing Business As Name - Organization |
| Street Address |
27300 IRIS AVE |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629018460 | Emergency Physicians Medical Group, Inc | Emergency Medicine | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2006-06-08 |
| 1881238905 | Hannah Marie Hughes | Dietitian, Registered | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2019-10-31 |
| 1851856934 | Jamie Phillips | Allergy & Immunology | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2019-02-04 |
| 1396214631 | Surjit Gill | Respiratory Therapist, Registered | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-11-15 |
| 1639647001 | Lizette Patterson | Respiratory Therapist, Registered | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-11-05 |
| 1124596416 | Soudabeh Soheili | Respiratory Therapist, Registered | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-11-05 |
| 1659849073 | Wuri Trihastuti Wimboprasetyo | Respiratory Therapist, Registered | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-11-02 |
| 1730656208 | Joel Macaraig Dalangin | Respiratory Therapist, Certified | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-11-01 |
| 1861968075 | Nabeel Aslam | Respiratory Therapist, Certified | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-10-16 |
| 1649773243 | Jonathan D Lo | Pharmacist | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2018-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
| 1114549144 | Providence Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 11165 Bonnie View Ave, Moreno Valley, CA 92555 | 2020-05-13 |
| 1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
| 1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
| 1215419668 | Johannes Wattimena | Counselor | 26624 Saffron Circle, Moreno Valley, CA 92555 | 2018-09-02 |
| 1437676939 | Aleksandra Vargas | Behavioral Analyst | 12549 Atherton Dr, Moreno Valley, CA 92555 | 2017-08-25 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
| 1861923674 | Elena Vizcaino | Behavior Technician | 15670 Turnberry St, Moreno Valley, CA 92555 | 2017-03-23 |
| 1154744522 | Nancy Chivichon | Dietitian, Registered | 28648 Avenue Ave., Moreno Valley, CA 92555 | 2014-01-21 |
| Find all providers in zip 92555 | ||||
| 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 |
|---|---|---|---|---|
| 1053701706 | Riverside County Regional Medical Center | General Acute Care Hospital | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2015-02-03 |
| 1174793459 | Kaiser Foundation Hospitals | General Acute Care Hospital | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2008-03-03 |
| 1225248644 | Riverside University Health Systems - Medical Center | General Acute Care Hospital | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2007-05-23 |
| 1386852416 | Riverside University Health Systems - Medical Center | General Acute Care Hospital | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2007-05-21 |
| 1821159195 | Riverside University Health Systems - Medical Center | General Acute Care Hospital | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2006-12-12 |
| 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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| City | MORENO VALLEY |
| Zip Code | 92555 |
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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.