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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE CROSS PROV# | 557447 | 01 |
CA | BLUE SHIELD PROV # | ZZZ66009Z | 01 |
CA | HHA57447H | 05 |
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 |
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 |
Street Address |
5315 TORRANCE BLVD STE B-169 |
City | TORRANCE |
State | CA |
Zip Code | 90503-4011 |
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 |
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 Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
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] |
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 |
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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.