PRESBYTERIAN INTERCOMMUNITY HOSPITAL (NPI# 1720142177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720142177 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN INTERCOMMUNITY HOSPITAL |
| Practice Address |
12401 Washington Blvd Whittier CA 90602-1006 |
| Practice Telephone | 5626980811 |
| Practice Fax Number | 5626986238 |
| Mailing Telephone | 5626980811 |
| Mailing Fax Number | 5626986238 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | GARY KOGER (CFO) |
| Authorized Official Telephone | 5626980811 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
HSP21517 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHB 215170 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRESBYTERIAN INTERCOMMUNITY HOSPITAL | 12401 Washington Blvd, Whittier, CA 90602-1006 |
| Street Address |
12401 WASHINGTON BLVD |
| City | WHITTIER |
| State | CA |
| Zip Code | 90602-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215379 | Pih Health Hospital Whittier | General Acute Care Hospital | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2005-06-14 |
| 1477165256 | Dania Mason | Student in an Organized Health Care Education/Training Program | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2020-08-21 |
| 1871122473 | Kathileen Jean Orozco | Student in an Organized Health Care Education/Training Program | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2020-04-06 |
| 1801423165 | Di Chung | Student in an Organized Health Care Education/Training Program | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2020-03-26 |
| 1356978944 | Andrew Thua Thang Ngo | Student in an Organized Health Care Education/Training Program | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2020-03-24 |
| 1356992150 | Adelbert-marc Francisco | Physician Assistant | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2019-09-23 |
| 1841855590 | Janelle Osorio Patriarca | Nurse Practitioner | 12401 Washington Blvd, Whittier, CA 90602 | 2019-05-08 |
| 1043875339 | Charlene Osorio Patriarca | Nurse Practitioner | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2019-05-02 |
| 1346709102 | Matthew Schroeder | Student in an Organized Health Care Education/Training Program | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2019-03-19 |
| 1881153658 | Isaiah Ho | Student in an Organized Health Care Education/Training Program | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346896412 | Alexis Pettway | Specialist/Technologist | 13847 Earlham Drive, Whittier, CA 90602 | 2019-08-14 |
| 1053898486 | Bridget Joanne Islas | Case Manager/Care Coordinator | 8219 Milton Ave., Apt. D, Whittier, CA 90602 | 2018-07-27 |
| 1184175606 | Metzie America Moran | Specialist | 8135 Painter Ave Suite 201, Whittier, CA 90602 | 2016-10-19 |
| 1811348360 | Jasmine Renee Simmons | Speech-Language Pathologist | 8135 Painter Avenue, Suite #200, Whittier, CA 90602 | 2016-06-27 |
| 1194108084 | Aaronshawn Poolsaad | Optometrist | 8135 Painter Ave Ste 100, Whittier, CA 90602 | 2015-07-09 |
| 1124409677 | Alliance Orthotics & Prosthetics Inc. | Clinic/Center | 12458 East Washington Blvd, Whittier, CA 90602 | 2015-06-10 |
| 1205223567 | Maria Ursula Jarrin Lopez | Speech-Language Pathologist | 8135 Painter Avenue, Suite 201, Whittier, CA 90602 | 2015-04-23 |
| 1932595055 | Sotto Lin Weng | Acupuncturist | 7754 Painter Avenue, Whittier, CA 90602 | 2015-04-15 |
| 1770978660 | Carolyn Rumpeltes | Physician Assistant | 12462 Putnam St Ste 203, Whittier, CA 90602 | 2015-03-30 |
| 1609273671 | Anthony Razon | Specialist/Technologist | 8132 Painter Ave Ste 201, Whittier, CA 90602 | 2014-11-19 |
| Find all providers in zip 90602 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457906745 | Corrections and Rehabilitation | Pharmacy | 5th and Western Ave, Module M, Room #104, Norco, CA 92860 | 2019-08-05 |
| 1982169694 | Vikki Lam | Pharmacy | 757 Westwood Plz # B-504j, Los Angeles, CA 90095-8358 | 2019-02-06 |
| 1760827414 | Cedars-sinai Medical Center | Pharmacy | 127 S San Vicente Blvd Ste 2403, Los Angeles, CA 90048-3311 | 2013-05-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1649576364 | Wade J Dahlberg Sr | Pharmacy | 2697 Lavery Ct Ste 7, Newbury Park, CA 91320-1587 | 2011-01-27 |
| 1871898304 | Corrections and Rehabilitation | Pharmacy | 5100 O'byrnes Ferry Road, Attn: Pharmacy, Jamestown, CA 95327 | 2011-01-13 |
| 1437469202 | Institutional Pharmacy Solutions LLC | Pharmacy | 6520 N Irwindale Ave Ste 228, Irwindale, CA 91702-2867 | 2010-10-14 |
| 1851593560 | Belville Enterprises Inc | Pharmacy | 10140 Barnes Canyon Rd, San Diego, CA 92121-2724 | 2007-06-04 |
| 1306057229 | Detention's Facility Pharmacy | Pharmacy | 8525 Gibbs Dr Ste 101, San Diego, CA 92123-1758 | 2007-05-24 |
| 1407992019 | San Joaquin County | Pharmacy | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2007-01-30 |
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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.