EMANATE HEALTH MEDICAL CENTER (NPI# 1548294606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548294606 |
| Entity Type | Organization |
| Organization Name | EMANATE HEALTH MEDICAL CENTER |
| Other Organization Name | CITRUS VALLEY MEDICAL CENTER INC |
| Practice Address |
1115 S Sunset Ave West Covina CA 91790-3940 |
| Mailing Address |
Po Box 840147 Los Angeles CA 90084-0147 |
| Practice Telephone | 6269624011 |
| Mailing Telephone | 6269624011 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | ROGER SHARMA (EXECUTIVE VP/CFO) |
| Authorized Official Telephone | 6269387595 |
| Is Organization Subpart | Y |
| Parent Organization Name | EMANATE HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS SO CA | 209 | 01 |
| CA | BLUE SHIELD CA | ZZZA1939Z | 01 |
| Other Name | Type Code |
|---|---|
| CITRUS VALLEY MEDICAL CENTER INC | Former Legal Business Name - Organization |
| Emanate Health Queen of the Valley Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407871965 | Emanate Health Medical Center | Specialist | 315 N 3rd Ave Ste 203, Covina, CA 91723-1915 | 2006-07-13 |
| 1215063151 | Emanate Health Medical Center | Psychiatric Unit | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2007-02-26 |
| 1669507620 | Emanate Health Medical Center | General Acute Care Hospital | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2007-02-22 |
| 1982629440 | Emanate Health Medical Center | General Acute Care Hospital | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2006-07-13 |
| 1881619344 | Emanate Health Medical Center | Specialist | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2006-07-13 |
| 1770508939 | Emanate Health Medical Center | Specialist | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2006-07-12 |
| 1740214808 | Emanate Health Medical Center | Skilled Nursing Facility | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2006-07-11 |
| 1629009097 | Emanate Health Medical Center | Skilled Nursing Facility | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2006-07-05 |
| 1063441293 | Emanate Health Medical Center | General Acute Care Hospital | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2006-07-01 |
| Street Address |
1115 S SUNSET AVE |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427027499 | John B Fox | Radiology | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2006-03-14 |
| 1821695552 | Karen Castellano | Nurse Practitioner | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2020-10-06 |
| 1174140222 | Salil Kumar Chopra | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2020-07-05 |
| 1396362562 | Vivian Huang Buhler | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2020-07-02 |
| 1548885171 | Erin Lee | Pharmacist | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2020-06-09 |
| 1396367082 | Diana Hyun | Pharmacist | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2020-05-15 |
| 1376165449 | Justin Joseph D'agostino | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2020-05-12 |
| 1447870845 | Vincent Duong | Pharmacist | 1115 S Sunset Ave, Pharmacy, West Covina, CA 91790-3940 | 2020-04-26 |
| 1124657580 | Habib Ahmad Haidary | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2020-04-07 |
| 1619506946 | Felicia Marie Beeman | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909543 | Harmony Rehab PC | Rehabilitation Unit | 530 Showers Dr Ste 7-212, Mountain View, CA 94040-4740 | 2020-07-17 |
| 1659813012 | Jordan Leeann Isom | Rehabilitation Unit | 3322 Saint Omer St Apt 33, Cottonwood, CA 96022-9414 | 2016-11-15 |
| 1568911972 | Van Ngo | Rehabilitation Unit | 3939 Monroe Ave Apt 124, Fremont, CA 94536-6903 | 2016-09-26 |
| 1659756450 | Rehab Alliance | Rehabilitation Unit | 1720 Mt View Ave, Loma Linda, CA 92354-1727 | 2015-07-22 |
| 1265828966 | Therasens Occupational Therapy | Rehabilitation Unit | 1900 Garden Rd Ste 200c, Monterey, CA 93940-5373 | 2015-04-09 |
| 1396081394 | Quest Psychological Consulting, Inc. | Rehabilitation Unit | 18411 Gothard St Unit I, Huntington Beach, CA 92648-1208 | 2012-12-19 |
| 1477805877 | First Rehabilitation Specialists, Inc. | Rehabilitation Unit | 475 Hamilton St, San Francisco, CA 94134-1731 | 2012-10-09 |
| 1316298607 | Dynamic Therapy Group, Inc. | Rehabilitation Unit | 8100 Hansom Dr, Oakland, CA 94605-4211 | 2012-09-26 |
| 1184973752 | Providence Speech and Hearing Center | Rehabilitation Unit | 1301 Providence Ave., Orange, CA 92868 | 2012-08-29 |
| 1396003034 | Armour X Sports In Orthopedic Medicine | Rehabilitation Unit | 22482 Lake Forest Ln, Lake Forest, CA 92630-3024 | 2012-05-01 |
| Find all providers with the same taxonomy | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.