Organization Active NPI

Coalinga State Hospital

  • Psychiatric Hospital
  • Playa del Rey, CA
National Provider Identifier
1013343516
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
COALINGA STATE HOSPITAL
Practice address
8242 Sunnysea Dr
Playa del Rey, CA 90293-7941
Phone
(310) 874-0658
NPI assigned
Sep 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Dr. Donald Gene Rubish, STATE HEALTH CARE
Title
Psychologist
Phone
(559) 934-8552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

8242 Sunnysea Dr
Playa del Rey, CA 90293-7941

Mailing address

8242 Sunnysea Dr
Playa del Rey, CA 90293-7941
Phone (310) 874-0658

National Provider Directory

National Provider Directory
Tax ID family
Coalinga State Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1013343516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8242 SUNNYSEA DR",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937941",
            "telephone_number": "310-874-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8242 SUNNYSEA DR",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937941",
            "telephone_number": "310-874-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COALINGA STATE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "RUBISH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "559-934-8552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "STATE HEALTH CARE"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.