PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
NPI 1942247291
General Acute Care Hospital in San Pedro, CA
NPI Status: Active since June 02, 2006
Contact Information
1300 W 7TH ST
SAN PEDRO, CA
ZIP 90732
Phone: (310) 303-7496
Fax: (310) 303-7575
- Organization
- General Acute Care Hospital
About PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
This page provides the complete NPI Profile along with additional information for Providence Health System - Southern California, a provider established in San Pedro, California operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1942247291 assigned on June 2006. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated May 2025. The provider's
- NPI
- 1942247291
- Provider Legal Name
- PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1300 W 7TH ST SAN PEDRO, CA 90732
- Location Phone
- (310) 303-7496
- Location Fax
- (310) 303-7575
- Mailing Address
- PO BOX 2335 SPOKANE, WA 99210
- Mailing Phone
- (310) 303-7496
- Mailing Fax
- (310) 303-7575
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-02-2006
- Last Update Date
- 05-09-2025
- Code Navigator
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 01-01-1984 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
Location Map
Secondary Locations
- 1386 W 7th St # A
San Pedro, CA 90732
(310) 241-4330
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
General Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- License State
- CA
- Taxonomy Description
- An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| HSC30078G | MEDICAID (05) | CA | |
| ZZT30078G | MEDICAID (05) | CA | |
| ZZZA1925Z | OTHER (01) | CA | BLUE SHIELD PROV NUMBER |
| ZZT40078G | MEDICAID (05) | CA | |
| 050078 | OTHER (01) | CA | BLUE CROSS PROV NUMBER |
| HSD30078G | MEDICAID (05) | CA |
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA has an ownership type of Non-profit
- The facility received it's medicare certification date on 01-01-1984
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | 17 |
| Brain disease or condition (non-traumatic) | 11 |
| Brain injury (traumatic) | 18 |
| Hip or femur fracture | 11 |
| Hip or knee replacement, amputation or other bone or joint condition | 17 |
| Nervous system disorder (excluding stroke) | 27 |
| Spinal cord disease or condition (non-traumatic) | 26 |
| Spinal cord injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Stroke | 97 |
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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. | |||||||||
| 1 | 9 | 4 | 2 | 2 | 4 | 7 | 2 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 8 | 2 | 4 | 4 | 14 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 8 + 2 + 4 + 4 + 1 + 4 + 2 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1942247291 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427014091 | PENINSULA ANESTHESIA GROUP, INC. Organization | Anesthesiology | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 832-3311 |
| 1164460572 | DR. MARK H. JOYNER M.D. Individual | Emergency Medicine | 1300 W 7TH ST EMERGENCY DEPARTMENT SAN PEDRO, CA 90732 (310) 514-5350 |
| 1316989791 | LITTLE COMPANY OF MARY - SAN PEDRO Organization | Skilled Nursing Facility | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 303-7496 |
| 1578509568 | DR. KEITH DOUGLAS STAMLER M.D. Individual | Emergency Medicine | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1124056056 | DR. JEFFREY PAUL DAYTON M.D. Individual | Emergency Medicine | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1679501597 | JUDITH SELFRIDGE THOMAS N.P. Individual | Nurse Practitioner | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1073541991 | DR. ARLENE MARIE VERNON M.D. Individual | Emergency Medicine | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1720017700 | MICHELE ANN SECKINGTON F.N.P. Individual | Nurse Practitioner | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1891724878 | DR. MILES R SHAW M.D. Individual | Emergency Medicine | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1982633160 | DR. ALESSANDRA CONFORTO M.D. Individual | Emergency Medicine | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1285663310 | DR. SHAGHAYEGH HAGHIGHAT M.D. Individual | Emergency Medicine | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1922030576 | MICHAEL DOUGLAS GREEN P.A. Individual | Physician Assistant | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1710919345 | DR. MARCO ANTONIO DIAZ M.D. Individual | Emergency Medicine | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1235161894 | MARY ANN COSTA FNP Individual | Nurse Practitioner | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1497787774 | DR. DOUGLAS WALTER MCFARLAND M.D. Individual | Emergency Medicine | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1174555460 | RONNIE LEE MELENDEZ Individual | Emergency Medicine | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1861424152 | DR. SAMEER DHIRU MISTRY M.D. Individual | Emergency Medicine | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1982636262 | DR. JOHN SUSUMU MCCALL M.D. Individual | Emergency Medicine | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1740212109 | KAREN SUE HOYT M.D. Individual | Emergency Medicine | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
| 1841222163 | SHEILA SANNING SHEA N.P. Individual | Nurse Practitioner | 1300 W 7TH ST SAN PEDRO, CA 90732 (310) 514-5350 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942247291, enumerated in the NPI registry as an "organization" on June 02, 2006
The provider is located at 1300 W 7th St San Pedro, Ca 90732 and the phone number is (310) 303-7496
This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 02, 2006. 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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