NPIMap

Organization Active NPI

Prime Healthcare Centinela LLC

  • Rehabilitation Hospital Unit
  • Inglewood, CA
National Provider Identifier
1013196807
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
PRIME HEALTHCARE CENTINELA LLC
Practice address
333 N Prairie Ave
Inglewood, CA 90301-4501
Phone
(310) 680-1488
Fax
(310) 677-0535
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Michael Joseph Sarrao
Title
Vice-President & General Counsel
Phone
(909) 464-8847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X CA Primary

Addresses

Primary practice location

333 N Prairie Ave
Inglewood, CA 90301-4501

Mailing address

12479 Central Ave
Chino, CA 91710-2670
Phone (909) 464-8847

Other names 1

  • Centinela Hospital Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prime Healthcare Centinela LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1013196807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12479 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102670",
            "telephone_number": "909-464-8847",
            "fax_number": "909-464-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N PRAIRIE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014501",
            "telephone_number": "310-680-1488",
            "fax_number": "310-677-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE CENTINELA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "SARRAO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE-PRESIDENT & GENERAL COUNSEL",
        "authorized_official_telephone_number": "909-464-8847"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centinela Hospital Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.