NPIMap

Organization Active NPI

Providence Little Company of Mary Medical Center Torrance

  • General Acute Care Hospital
  • Torrance, CA
National Provider Identifier
1003084211
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
A35086 Issued in CA
Legal business name
PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE
Practice address
4101 Torrance Blvd
Torrance, CA 90503-4607
Phone
(310) 303-6840
Fax
(310) 303-5574
NPI assigned
Feb 11, 2008
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Glen Isamu Komatsu, MDNPI 1114939394
Title
Director of Palliative Care
Phone
(310) 303-6840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X A35086 CA Primary

Addresses

Primary practice location

4101 Torrance Blvd
Torrance, CA 90503-4607

Mailing address

4101 Torrance Blvd
Torrance, CA 90503-4607
Phone (310) 303-6840

Other names 1

  • Providence Health System - Southern California Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1003084211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034607",
            "telephone_number": "310-303-6840",
            "fax_number": "310-303-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034607",
            "telephone_number": "310-303-6840",
            "fax_number": "310-303-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "KOMATSU",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "ISAMU",
        "authorized_official_title_or_position": "DIRECTOR OF PALLIATIVE CARE",
        "authorized_official_telephone_number": "310-303-6840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A35086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Health System - Southern California",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.