PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (NPI# 1821010315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821010315 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA |
| Other Organization Name | LITTLE COMPANY OF MARY HOSPITAL PHARMACY |
| Practice Address |
4101 Torrance Blvd Torrance CA 90503-4607 |
| Practice Telephone | 3103035777 |
| Practice Fax Number | 3103035778 |
| Mailing Telephone | 3103035722 |
| Mailing Fax Number | 3103035779 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | MUNO BHOLAT (PHCY DIR) |
| Authorized Official Telephone | 3103035722 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
HSP47224 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1997017 | 01 |
| Other Name | Type Code |
|---|---|
| LITTLE COMPANY OF MARY HOSPITAL PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700890514 | Providence Health System-southern California | Home Health | 5315 Torrance Blvd, Ste B-169, Torrance, CA 90503-4011 | 2006-07-28 |
| 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 |
| 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 |
4101 TORRANCE BLVD |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437142312 | Little Co Pharmacy | Pharmacy | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2005-08-25 |
| 1265044143 | Vanessa Escobar | Student in an Organized Health Care Education/Training Program | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2020-08-20 |
| 1538782149 | Sabrina Rae Verzosa Co | Pharmacist | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2020-05-19 |
| 1689210718 | Daniel Abanoub Keroles | Pharmacist | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2019-11-25 |
| 1134761091 | Zahra Esmail D O Professional Corp | Internal Medicine | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2019-10-11 |
| 1598312498 | Jonathan Malcolm Rojas | Nurse Practitioner | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2019-08-25 |
| 1497308936 | Katelyn Hicks | Nurse Practitioner | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2019-07-23 |
| 1780140780 | Shahida P Meghani | Nurse Practitioner | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2019-02-14 |
| 1609358977 | Providence Medical Institute | Hospitalist | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2018-09-04 |
| 1750869566 | Providence Little Company of Mary, Torrance | General Acute Care Hospital | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2018-08-02 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1376526111 | Pennsylvania Department of Human Services | Pharmacy | State Route 1014, Torrance, PA 15779-0111 | 2005-11-25 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA.
| 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.