PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA


Address: 5315 Torrance Blvd, Ste B-169, Torrance, CA 90503-4011
Phone: 3105433450

PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (NPI# 1700890514) 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) 1700890514
Entity Type Organization
Organization Name PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
Practice Address 5315 Torrance Blvd
Ste B-169
Torrance
CA 90503-4011
Mailing Address 4180 W 190th St
Torrance
CA 90504-5513
Practice Telephone 3105433450
Practice Fax Number 3103162359
Mailing Telephone 3103037552
Mailing Fax Number 3103037401
Enumeration Date 2006-07-28
Last Update Date 2018-02-26
Authorized Official Name DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY-ENROLLMENT)
Authorized Official Telephone 4255255392
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE CROSS PROV# 557447 01
CA BLUE SHIELD PROV # ZZZ66009Z 01
CA HHA57447H 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164429684 Providence Health System-southern California Home Health 3413 W Pacific Ave, Ste 201, Burbank, CA 91505-1555 2005-06-30
1356962385 Providence Health System-southern California Pharmacy 18370 Burbank Blvd Ste 104, Tarzana, CA 91356-2804 2020-04-30
1821250762 Providence Health System-southern California General Acute Care Hospital 18321 Clark St, Tarzana, CA 91356-3501 2008-07-01
1508972456 Providence Health System-southern California Pharmacy 1300 W 7th St, San Pedro, CA 90732-3505 2006-08-22
1821010315 Providence Health System-southern California Pharmacy 4101 Torrance Blvd, Torrance, CA 90503-4607 2006-07-24

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA 501 S Buena Vista St, Burbank, CA 91505-4809

Office Location

Street Address 5315 TORRANCE BLVD
STE B-169
City TORRANCE
State CA
Zip Code 90503-4011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447806021 Jennifer Destreza Ryan Nurse Practitioner 5315 Torrance Blvd, Torrance, CA 90503-4011 2019-08-10
1790065142 Maureen Metz Physician Assistant 5315 Torrance Blvd, Suite A, Torrance, CA 90503-4011 2011-08-17
1386969731 Brandi O'brien Nurse Practitioner 5315 Torrance Blvd, Torrance, CA 90503-4011 2010-03-29
1104092667 Jungok Ha Nurse Practitioner 5315 Torrance Blvd, Torrance, CA 90503-4011 2008-05-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013562180 Jason Anthony Maglinao Chiropractor 21010 Anza Ave., #12, Torrance, CA 90503 2019-08-06
1891288890 Ehab Samaan Dds Inc Dentist 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 2018-06-13
1740771435 Icare California House Call Practice LLC Nurse Practitioner 4460 Spencer St, Torrance, CA 90503 2018-05-29
1396258729 South Bay Home Care, Inc., Dba Always Best Care - South Bay In Home Supportive Care 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 2017-11-07
1770093023 Home Care Professional Services, Inc. In Home Supportive Care 3838 West Carson Street, Suite 208, Torrance, CA 90503 2017-10-01
1003355686 Mona Nejad Dentist 4305 Torrance Blvd Ste 103, Torrance, CA 90503 2017-02-16
1497114722 Jacqueline Martinez Technician, Other 4201 Torrance Blvd Suite 190, Torrance, CA 90503 2016-02-15
1093196255 Hanmo Gu Chiropractor 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 2015-06-13
1164813341 Aimee Y Miyazawa Specialist/Technologist 20501 Earl St. Ste. 3, Torrance, CA 90503 2015-02-10
1396145231 Nicole Soghomonian Social Worker 5010 Merrill St, Torrance, CA 90503 2014-08-28
Find all providers in zip 90503

Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104481076 Thrive Health Inc. Home Health 23211 Hawthorne Blvd Ste 200a, Torrance, CA 90505-3769 2019-05-07
1487130043 Blue Iris Home Health, Inc. Home Health 3820 Del Amo Blvd Ste 228, Torrance, CA 90503-2154 2018-07-17
1093215600 Winnie Simmons Home Health 1349 W 219th St, Torrance, CA 90501-4008 2018-02-20
1376084475 Mardu Inc Dba Visiting Angels Home Health 3655 Torrance Blvd Fl 3, Torrance, CA 90503-4857 2017-03-09
1821444522 Peace Home Health Care Home Health 2420 W Carson St Ste 200, Torrance, CA 90501-3166 2016-05-11
1346694346 Prime Care Health Services Inc Home Health 800 W Carson St, Suite 24, Torrance, CA 90502-2100 2016-04-16
1689044745 Prive Care, Inc. Home Health 19500 Normandie Ave Ste B, Torrance, CA 90502 2015-10-01
1770953895 A Care Home Health, Inc. Home Health 24445 Hawthorne Blvd Ste 108, Torrance, CA 90505-6562 2015-10-01
1295118347 Caring Hearts Agency LLC Home Health 1508 W 207th St, Apt. D, Torrance, CA 90501-1960 2015-07-08
1831443365 Pf Development 8, LLC Home Health 19191 S Vermont Ave Ste 410, Torrance, CA 90502-4462 2012-11-06
Find all providers in TORRANCE

Competitor

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City TORRANCE
Zip Code 90503

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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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