SAN DIMAS COMMUNITY HOSPITAL, INC. (NPI# 1568487619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568487619 |
| Entity Type | Organization |
| Organization Name | SAN DIMAS COMMUNITY HOSPITAL, INC. |
| Other Organization Name | SAN DIMAS COMMUNITY HOSPITAL |
| Practice Address |
1350 W Covina Blvd San Dimas CA 91773-3245 |
| Mailing Address |
File 57543 Los Angeles CA 90074-0001 |
| Practice Telephone | 9095996811 |
| Mailing Telephone | 6263004122 |
| Mailing Fax Number | 6263004122 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | MR. CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET) |
| Authorized Official Telephone | 3107758043 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAN DIMAS COMMUNITY HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 93000039 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| San Dimas Community Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811929359 | San Dimas Community Hospital, Inc. | General Acute Care Hospital | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2006-07-07 |
| Street Address |
1350 W COVINA BLVD |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386638054 | Roy H Moffatt | Pathology | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2005-09-08 |
| 1760007181 | Timothy Minnihan | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-11 |
| 1336764091 | Janice Floria Valledor | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1508481276 | Maria Norma Velvick | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1255956900 | Lori Longmeyer | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1447875190 | Teresa Schmook | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1609491372 | Maria Sagrario Arias Azurin | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1972966828 | Flavien Eric Leclere | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2016-03-29 |
| 1386961456 | Earl Justin Macaso | Dietitian, Registered | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2010-04-28 |
| 1558595967 | Ray Zhao | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2009-05-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
| Find all providers in zip 91773 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730269234 | Casa Bonita Convalescent Hospital Inc | Skilled Nursing Facility | 535 E Bonita Ave, San Dimas, CA 91773-3124 | 2006-10-17 |
| 1902851488 | Aureus Acquisition I, LLC | Skilled Nursing Facility | 1740 S San Dimas Ave, San Dimas, CA 91773-5108 | 2006-05-23 |
| 1538701495 | Gensandimas LLC | Skilled Nursing Facility | 1740 S San Dimas Ave, San Dimas, CA 91773-5108 | 2019-10-11 |
| 1730339797 | Emericare, Inc. | Skilled Nursing Facility | 1740 S San Dimas Ave, San Dimas, CA 91773-5108 | 2008-09-26 |
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| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
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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.