HARBOR UCLA MEDICAL CENTER (NPI# 1730513151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730513151 |
| Entity Type | Organization |
| Organization Name | HARBOR UCLA MEDICAL CENTER |
| Practice Address |
1000 W Carson St Torrance CA 90502-2004 |
| Practice Telephone | 3102222345 |
| Mailing Telephone | 3102222345 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |
| Authorized Official Name | DELVECCHIO FINLEY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3102222345 |
| Authorized Official Credential | M.P.P., F.A.C.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 060000129 | CA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306232020 | Harbor Ucla Medical Center | Clinic/Center | 100 W. Carson Street, Ophthalmology Clinic Box 6, Torrance, CA 90502 | 2015-04-09 |
| 1528224029 | Harbor Ucla Medical Center | Student in an Organized Health Care Education/Training Program | 4012 W 129th St, Apt. #3, Hawthorne, CA 90250-5245 | 2008-08-04 |
| 1740359728 | Harbor Ucla Medical Center | Psychiatric Hospital | 1456 Ronan Ave, Wilmington, CA 90744-2022 | 2006-11-06 |
| 1427432582 | Harbor Ucla Medical Center | General Acute Care Hospital | 1000 W Carson St, Torrance, CA 90502-2004 | 2015-07-17 |
| 1336534908 | Harbor Ucla Medical Center | Clinic/Center | 1000 W Carson St, Ophthalmology Clinic Box 6, Carson, CA 90810-1408 | 2015-04-01 |
| 1437389400 | Harbor Ucla Medical Center | General Acute Care Hospital | 1000 W Carson St, Department of Orthopaedic Surgery, Torrance, CA 90502-2004 | 2009-07-23 |
| 1255427811 | Harbor Ucla Medical Center | General Acute Care Hospital | 1000 W Carson St, Box 462, Torrance, CA 90502-2004 | 2006-10-04 |
| Street Address |
1000 W CARSON ST |
| City | TORRANCE |
| State | CA |
| Zip Code | 90502-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255324885 | Timothy L Vannatta | Surgery | 1000 W Carson St, Box 42, Torrance, CA 90502-2004 | 2005-08-30 |
| 1396354825 | Jonica Marie Rivas (gonzalez) | Registered Nurse | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-07-30 |
| 1871102475 | Ronald Calderon | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-07-29 |
| 1396353058 | Stephanie Munoz | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-07-20 |
| 1720606247 | Fabiola Saucedo Macias | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-07-10 |
| 1235755489 | Haya Nemtzov | Nurse Practitioner | 1000 W Carson St, Torrance, CA 90502-2059 | 2020-06-24 |
| 1588280945 | Ana Gabriela Vargas Garcia | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-06-22 |
| 1699397984 | Edmond Ebubechukwu Onwukwe | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-05-11 |
| 1902428238 | Jared Joshua Johnson | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2059 | 2020-05-08 |
| 1427679356 | Jonathan Rodney | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| Find all providers in zip 90502 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
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| 1063893741 | Patricia Piper | Special Hospital | 6422 Old Redwood Hwy, Santa Rosa, CA 95403-1158 | 2015-06-17 |
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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.