ST. FRANCIS MEDICAL CENTER- CCC
NPI 1699891697
Rehabilitation Unit in South Gate, CA

NPI Status: Active since March 21, 2007

Contact Information

4390 TWEEDY BLVD
SOUTH GATE, CA
ZIP 90280
Phone: (310) 603-6949
Fax: (323) 566-4984

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  • Organization
  • Rehabilitation Unit

About ST. FRANCIS MEDICAL CENTER- CCC

This page provides the complete NPI Profile along with additional information for St. Francis Medical Center- Ccc, a provider established in South Gate, California operating as a Rehabilitation Unit. The healthcare provider is registered in the NPI registry with number 1699891697 assigned on March 2007. The practitioner's primary taxonomy code is 273Y00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Derrell Tidwell Lcsw (Executive Director)

NPI
1699891697
Provider Name
ST. FRANCIS MEDICAL CENTER- CCC
Entity Type
Organization
Location Address
4390 TWEEDY BLVD SOUTH GATE, CA 90280
Location Phone
(310) 603-6949
Location Fax
(323) 566-4984
Mailing Address
4390 TWEEDY BLVD SOUTH GATE, CA 90280
Mailing Phone
(310) 603-6949
Mailing Fax
(323) 566-4984
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2007
Last Update Date
02-06-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Rehabilitation Unit

Taxonomy Code
273Y00000X
Type
Hospital Units
License State
CA
Taxonomy Description
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DERRELL TIDWELL LCSW

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(310) 900-8490

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699891697
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261891692618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 6 + 9 + 2 + 6 + 1 + 8 + 24 = 83
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 83 = 77

The NPI number 1699891697 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780701276 IVAN MENDEZ
Individual
Marriage & Family Therapist4390 TWEEDY BLVD
SOUTH GATE, CA 90280
(310) 603-6949
1023290129MS. NORA ELIZABETH TAPIA MSW
Individual
Social Worker (Clinical)4390 TWEEDY BLVD
SOUTH GATE, CA 90280
(310) 603-6949
1811158926ST. FRANCIS MEDICAL CENTER
Organization
Community/Behavioral Health4390 TWEEDY BLVD
SOUTH GATE, CA 90280
(310) 603-6949
1053437483ST. FRANCIS MEDICAL CENTER - CCC
Organization
Clinic/Center (Adolescent and Children Mental Health)4390 TWEEDY BLVD
SOUTH GATE, CA 90280
(310) 609-6949
1568669422 IYANNA STOUDEMIRE
Individual
Marriage & Family Therapist4390 TWEEDY BLVD
SOUTH GATE, CA 90280
(310) 603-6949
1669818613 PEDRO J MENDEZ ACSW
Individual
Counselor (Mental Health)4390 TWEEDY BLVD
SOUTH GATE, CA 90280
(323) 567-0596

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699891697, enumerated in the NPI registry as an "organization" on March 21, 2007

The provider is located at 4390 Tweedy Blvd South Gate, Ca 90280 and the phone number is (310) 603-6949

This medical organization specializes in Rehabilitation Unit with taxonomy code 273Y00000X

This NPI record was last updated on March 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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